Orchiopexy: planned 2-stage technique.

Planned unilateral 2-stage orchiopexy was undertaken in 14 of 919 primary inguinal explorations for an undescended or nonpalpable testis. In 9 of the 14 cases a silicone sheath was placed around the spermatic cord to protect the cord structures from injury at the time of the second stage. An adequate-sized scrotal testis resulted in 83 per cent of these planned 2-stage orchiopexies. Our impression is that the silicone sheath greatly facilitates the second stage.