Comparison of Outcomes of Scrotal and Inguinal Incision Orchiopexy for Undescended Testis
Iranian Journal of Pediatric Surgery,
Vol. 6 No. 1 (2020),
11 August 2020
,
Page 10-18
https://doi.org/10.22037/irjps.v6i1.31698
Abstract
Introduction: The aim of this study was to compare the results of treating undescended testis with conventional inguinal orchiopexy or by scrotal orchiopexy (in selected cases with undescended testis that can be rubbed up to the top of scrotum in their examination under general anesthesia).
Materials and Methods: Physical examination files of 66 palpable undescended testes patients performed by two pediatric surgeons at a 5th level hospital in Kenya/Kiambu within the scope of the program (29/09/2018-07/10/2018) were retrospectively reviewed.
Result: There was a statistically significant difference between the groups in terms of surgery time (p = 0.001). In both groups, there was no recurrence, testicular atrophy, and hernia or hydrocele formation complications. Scrotal hematoma was observed in one patient in each group.
Conclusion: Scrotal orchiopexy is a comfortable method that can be preferred in children because it requires less dissection, shorter operative time, no need analgesia, a single scrotal incision, and the fact that inguinal canal is not opened.
- Scrotal Orchiopexy
- Undescended Testes
- Children
How to Cite
References
2. Alyami FA, Yahya AFB, Albraidi HF, et al: Utilization of scrotal orchidopexy for palpable undescended testes among surgeons. Urology annals 2018; 10: 380-85.
3. Thong MK, Lim CT, Fatimah H: Undescended testes: incidence in 1,002 consecutive male infants and outcome at 1 year of age. Pediatr Surg Int 1998; 13:37–41.
4. Na SW, Kim SO, Hwang EC, et al: Single scrotal incision orchiopexy for children with palpable low-lying undescended testis: Early outcome of a prospective randomized controlled study. Korean J Urol 2011;52: 637–41.
5. Cobellis G, Noviello C, Nino F, et al: Spermatogenesis and cryptorchidism. Front Endocrinol 2014; 5: 63.
6. Feng S,Yang H, Li X, et al: Single scrotal incision orchiopexy versus the inguinal approach in children with palpable undescended testis: a systematic review and meta-analysis. Pediatric surgery international 2016; 32: 989-95.
7. Gordon M, Cervellione RM, Morabito A, et al: 20 years of transcrotal orchidopexy for un descended testis: results and outcomes. Journal of pediatric urology 2010; 6: 506-12.
8. Schuller M: On inguinal testicle and its operative treatment by transplantation into the scrotum. Ann Anat Surg 1881; 4: 89-102.
9. Bevan AD: Operation for undescended testicle and congenital inguinal hernia. JAMA 1899; 33: 773-77.
10. Bianchi A, Squire BR: Transscrotal orchidopexy: orchidopexy revised. Pediatr Surg Int 1989; 4:189-92.
11. Rajimwale A, Brant WO, Koyle MA: High scrotal (Bianchi) single-incision orchidopexy: a “tailored” approach to the palpable undescended testis. Pediatric surgery international 2004; 20: 618-22.
12. Alp BF, Irkilata HC, Kibar Y, et al: Comparison of the inguinal and scrotal approaches for the treatment of communicating hydrocele in children. Kaohsiung J Med Sci 2014; 30: 200–05.
13. Cloutier J, Moore K, Nadeau G, et al: Modified scrotal (Bianchi) midraphe single incision orchiopexy for low palpable undescended testis: early outcomes. The Journal of urology 2011; 185: 1088-1092.
14. Dayanc M, Kibar Y, Irkilata HC, et al: Long-term outcome of scrotal incision orchiopexy for undescended testis. Urology 2007; 70:786–88.
15. Dayanç M, Kibar Y, Tahmaz L, et al: Scrotal incision orchiopexy for undescended testis. Urology 2004; 64: 1216–18.
16. Callewaert PR, Rahnama’i MS, Biallosterski BT, et al: Scrotal approach to both palpable and impalpable undescended testes: Should it become our first choice? Urology 2010; 76: 73–6.
17. Ben DM, Zouari M, Zitouni H, et al: Comparison of the inguinal and scrotal approaches for the treatment of cryptorchidism in children. Progres en urologie: journal de l’Association francaise d’urologie et de la Societe francaise d’urologie 2015; 25:598–02.
18. Iyer KR, Kumar V, Huddart SN, et al: The scrotal approach. Pediatr Surg Int 1995; 10: 58-60.
19. Cuda SP, Srinivasan AK, Kalisvaart J, et al: Evolution of single practice trends in the surgical approach to the undescended testicle. J Urol. 2011; 185: 2451–54.
20. Al-Mandil M, Khoury AE, El-Hout Y, et al: Potential complications with the prescrotal approach for the palpable undescended testis? A comparison of single prescrotal incision to the traditional inguinal approach. J Urol 2008; 180: 686-89.
21. Samuel D, Asal A, Izzidien Y. Bianchi high scrotal approach revisited. Pediatr Surg Int 2008; 24:741-744.
22. Meyer T, Hocht B: Long term results of orchidopexy: transscrotal fixation versus Dartos-pouch. Zentralbl Chir 2004;129: 476-79.
- Abstract Viewed: 244 times
- PDF Downloaded: 201 times