. Surgery, its principles and practice . xternal to the external ring. UNDESCENDED AND MISPLACED TESTICLE. 593 Misplaced testicle may be situated either (a) in the perineum or (h)on the thigh at about the position of the femoral hernia. The malform-ation is one of importance from both a physical and a psychic standpointand deserves more consideration than has been generally given it. Mosttext-books on surgery dismiss it with a few words. The sufferers have inthe past been offered no relief for the deformity and have usually been ad-vised to have the organ removed if it caused any discomfort. I
. Surgery, its principles and practice . xternal to the external ring. UNDESCENDED AND MISPLACED TESTICLE. 593 Misplaced testicle may be situated either (a) in the perineum or (h)on the thigh at about the position of the femoral hernia. The malform-ation is one of importance from both a physical and a psychic standpointand deserves more consideration than has been generally given it. Mosttext-books on surgery dismiss it with a few words. The sufferers have inthe past been offered no relief for the deformity and have usually been ad-vised to have the organ removed if it caused any discomfort. It has, how-ever, been shown within the last few years that by a careful dissection thetesticle can in almost all cases be replaced and retained in the scrotum. The dangers and discomfort of an undescended testicle are muchgreater than those caused by the ordinary inguinal hernia and call muchmore urgently for operative relief. The dangers are briefly as follows: (1)The existing or potential hernia. (2) The tendency to serious lesions—. Fig. 311.—Undescended Right Testicle. Fig. 312.—Sevans through skin (3), superficial fascia(4), and external oblique (X); 2 cremastericfascia. epididymitis, atrophy, twisting of the cord with resulting gangrene, etc.(3) Injuries from its exposed position, by external violence or muscular ex-ertion. (4) The probability of malignant disease. (5) Worry and men-tal depression which may result from the deformity. The term monorchid is sometimes used to describe the individual withbut a single testicle in the scrotum. Kryptorchid means the individualwithout a testicle in the scrotum. In thirty-four operations which I haveperformed there were five cases in which the malformation was bilateral. Max Schueller, in 1881, was the first to publish a successful operativeplan for undescended testis. He recognized the fact that the most im-portant obstacle to reduction is the vaginal process of the peritoneum,and to overcome this he reco
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