Orchiopexy

In addition, cryptorchid testes carry a three to five times higher risk for testicular cancer (germ cell neoplasia in situ within the atrophic tubules).

There are multiple different orchiopexy techniques used to correct an undescended testicle due to the large variation in location where the testes may present.

[1] Orchiopexy is performed in the event of testicular torsion, a urologic emergency presenting with intense pain and often without inciting injury.

[citation needed] While neonatal torsion occurs with no anatomic defect to account for its occurrence (occurring in utero or shortly after birth), adult torsion results from a bilateral congenital anomaly often called a "bell-clapper deformity", where the testis is abnormally anchored in the scrotal sac, leading to increased mobility.

There are concerns regarding potential complications arising from suture fixation (and required breach of the tunica albuginea) like infarction and abscess formation, however this is not supported by data.

[citation needed] The Jaboulay procedure was developed later as a non-suture fixation method that avoids trans-parenchymal sutures and instead utilizes eversion, loose plication, and adhesion formation.

The theory of orchiopexy is attributed to the observations of Baron Albrecht von Haller and John Hunter in the 1700s, who began to elucidate the anatomy and mechanism of testicular descent.

He discussed the care of this patient in The British Medical Journal, crediting Thomas Curling (who had worked with James Adams) with the idea of anchoring the testis to the bottom of the scrotum.

Notably, Annandale was a close acquaintance of Joseph Lister, and practiced antiseptic techniques that had been absent from previous attempts by other physicians.