Volume: 1 Issue: 1
Year: 2025, Page: 34-39,
Received: Aug. 2, 2024 Accepted: Jan. 10, 2025 Published: April 10, 2025
This case study aims to discuss the clinical presentation, diagnosis, and management of a patient with bilateral cryptorchidism and concurrent inguinal hernia, focusing on the surgical intervention of orchiopexy. A detailed case analysis was conducted on a young male patient presenting with absent testes in the scrotum and a palpable inguinal mass. Diagnostic imaging and physical examination confirmed bilateral cryptorchidism and an inguinal hernia. The patient underwent bilateral orchiopexy and concurrent hernia repair. The surgical intervention involved an inguinal approach, mobilizing the undescended testes and securing them in the scrotum while simultaneously repairing the hernia. The patient had an uneventful postoperative recovery with no immediate complications. Follow-up evaluations showed proper testicular positioning and no recurrence of the hernia. Early surgical intervention for bilateral cryptorchidism and inguinal hernia is essential for optimal outcomes. Orchiopexy, combined with hernia repair, effectively addresses both conditions, reducing the risks of infertility, malignancy, and hernia complications.
Keywords: Cryptorchidism, Inguinal hernia, Orchiopexy, Hernia repair
Anderson JB, Bragg DE. 2023. Contemporary approaches to adult inguinal hernia repair: A review of techniques and outcomes. Hernia 27: 523–534.
Basaria S, Harman SM, Travison TG, et al. 2018. Effects of testosterone replacement in hypogonadal men. N Engl J Med 379: 1020–1031.
Bašković M. 2024. Editorial comment to assessment of diagnostic accuracy for cryptorchidism and risk factors for delayed orchidopexy. Int J Urol 31: 176.
Chan E, Wayne C, Nasr A, FRCSC. 2014. Ideal timing of orchiopexy: A systematic review. Pediatr Surg Int 30: 87–97.
Corona G, Goulis DG, Huhtaniemi I, et al. 2020. The effect of testosterone supplementation on health outcomes in hypogonadal men: A systematic review and meta-analysis. Eur J Endocrinol 182: 11–21.
European Association of Urology. 2021. EAU guidelines on urological surgery: Adult hernia surgery guidelines. Eur Urol 80: 168–183.
Goswami S, Desai M. 2023. Updates on cryptorchidism and testicular maldescent: Pathophysiolo-gy, diagnosis, and management. Pediatr Surg Int 39: 871–879.
Graft D, DeAngelis P. 2023. Current guidelines and future directions in the management of inguinal hernias and cryptorchidism. J Clin Urol 16: 15–21.
HerniaSurge Group. 2018. International guidelines for groin hernia management. Hernia 22: 1–165.
Jacob M, Zeng X. 2022. Management strategies for concurrent inguinal hernia and testicular maldescent in adults. J Surg Res 287: 425–432.
Khera M, Adaikan G, Buvat J, et al. 2020. Diagnosis and treatment of testosterone deficiency: Recommendations from the Fourth International Consultation for Sexual Medicine (ICSM 2015). J Sex Med 17: 837–865.
Lange D, Henningsen A. 2023. The association between inguinal hernia and cryptorchidism in adults: A review of recent evidence. Urol Clin North Am 50: 383–391.
Muñoz G, Kessler A. 2022. Inguinal hernia surgery in adults: Advances and techniques in hernia repair. Surg Endosc 36: 28–34.
Peters CA, Monga M. 2022. Contemporary management of cryptorchidism: A review of current approaches. J Urol 208: 813–821.
Rodprasert W, Virtanen HE, Toppari J. 2024. Cryptorchidism and puberty. Front Endocrinol 15: 1347435.
Saylors S, Oyetunji TA. 2024. Management of undescended testis. Curr Opin Pediatr 36: 554–561.
Simons MP, Aufenacker T, Bay-Nielsen M, et al. 2020. European Hernia Society guidelines on the management of groin hernias in adult patients. Hernia 24: 1129–1141.
Stabile MJ, Rodriguez D, Economopoulos KP. 2022. Risk factors for complications following inguinal hernia repair: An analysis of the National Surgical Quality Im-provement Program. Hernia 26: 415–421.
Virtanen HE, Main KM, Toppari J. 2024. Editorial: Update on epidemiology, endocrinology and treatment of cryptorchidism. Front Endocrinol 15: 1435877.
Wang C, Nieschlag E, Swerdloff R, et al. 2018. Investigation, treatment and monitoring of late-onset hypogonadism in males: ISA, ISSAM, EAU, EAA and ASA recommendations. Eur Urol 73: 271–285.
Warren JA, Blakely AM, Rohr MS, et al. 2021. Updates in management of inguinal hernia in adults. JAMA Surg 156: 835–844.
© Vignan’s University, Guntur
Sreenu Thalla, Shaik Aneesa, Sandeep Kanneganti, Bhavani Pentela, Anil Kumar Yerragopu. Case Study on Bilateral Cryptorchidism, Inguinal Hernia with Orchiopexy. Vig J Biotech Phar. 2025;1(1):34-39