Scrotal pouch technique. Adjunct to orchiopexy

Following orchiopexy, contraction of dartos and cremaster muscles may pull the testis toward the external inguinal ring. Fibrous tissue deposition resulting from testis mobilization and cord skeletonization may bind the testis in an unfavorably high scrotal position. The "scrotal pouch technique," utilizing both a subcutaneous scrotal pocket for the testis external to the dartos layer and a gentle testis traction regimen, serves to diminish the chances of testis retraction after orchiopexy.