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What is Operation for undescended testis should be done at (at what age in years)? and explain in detail?
Ans. b (1-2 years). (Ref. Bailey and Love 25th/76; Nelson, Paediatrics, 17th/pg. 1817)S No.ProcedureAge for elective surgery1.Cleft lip6-12 weeks (MH 2006)2.Cleft palate1-1.5 years3.Umbilical herniaAfter 1 year of age, if required.4.Inguinal herniaAny age5.Congenital hydrocele (Herniotomy)After one year (AIIMS-2001 June)6.Undescended testisWithin 2 years of age (MH -2000)7.Hypospadias (not glandular)1-1.5 years8.Patent ductus arteriosusAt birth9.Coarctation of aorta3-4 years# Anundescended/ectopic testis is prone for: (3 T's)- Trauma, Tumor and Torsion# Operating on very small children needs high skills in patients with undesended testis.# So orchidopexy is not usually done before 2 years.# However before the boy starts for school, he can be operated, but best is to wait till he is dry (to avoid wound infection).# It is to operate on same side at a time.# Seeing the complications related to the condition. 9-15 months is suggested as the best time for operation.# Spermatic venography is usefully employed in location of undescended testis if this is not identified using cross - sectional imaging# CT is the best investigation for localization of non-palpable undescended/ectopic testis# Laparoscopy-the optimum method of visualizing the anatomy.