Inguinal reoperation for undescended testis and hernia: Approach to the spermatic cord through the cremaster fascia

Purpose: Reoperation of the inguinal canal is difficult with few available lucid descriptions of the technique. We reviewed our experience with a uniq ue surgical approach to the spermatic cord through the cremaster fascia in patients who had undergone previous operations for undescended testis or he rnia and report its outcome. Materials and Methods: A total of 54 inguinal reoperations were performed i n 45 boys with an undescended testis or indirect inguinal hernia using a un ique surgical approach through the cremaster fascia. Results: Of the 54 inguinal canal reoperations surgery was successful in al l but 1 patient who sustained a transected vas deferens (1.8% complication rate). Conclusions: The surgical approach to the inguinal canal through the cremas ter fascia is an effective technique for reoperation of the inguinal canal after orchiopexy or hernial repair.