A Comparative Study of Single Scrotal Incision Orchiopexy of Children with Palpable Low-Lying Undescended Testis with Traditional Inguinal Method

Badbarin, Davud; Toomatari, Seyed Ehsan Mousavi; Aslanabadi, Saeid; Farhadi, Ebrahim; Salamat, Sara Akhavan

doi:10.13029/aps.2019.25.1.14

Cited by 4 publications

(9 citation statements)

References 15 publications

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“…Slightly different results showed by Bassel et al [14], that complications after single scrotal incision were less than inguinal technique. We showed that there were no recurrence or testicular atrophy in the single trans-scrotal approach similarly results of Badbarin et al, [1] and Na et al [6], who showed that there were no reported cases of testicle atrophy were reported after the surgery via scrotal incision technique.…”

Section: Discussionsupporting

confidence: 86%

“…In the present study transscrotal approach is compared with traditional inguinal approach as management approach for infants with undescended testis. We showed that there are many benefits of the transcrotal approach than the inguinal approach due to shorter operative time, fewer complications better recovery in addition to less incidence of recurrence and excellent cosmetic appearance, similarly results of previous studies [1,5,8].…”

Section: Discussionsupporting

confidence: 79%

“…We showed the incidence of complications in the group of patients who were managed by single scrotal incision was slightly more than the other group, similarly Badbarin et al, [1], and Na et al [6], showed that incidence of wound infection and hematoma after scrotal incision was more than the classic inguinal technique.…”

Section: Discussionsupporting

confidence: 60%

“…Many previous reports compared both approaches of management of undescended testis and showed that duration of surgery and duration of hospital staying is shorter in orchidopexy using single scrotal-incision than in inguinal approach [1,7,12].…”

Section: Discussionmentioning

confidence: 99%

“…Undescended testis is considered a developmental anomaly and its prevalence ranged from 2-4% at birth to about 1% after the first year of age [1]. The exact reason of its occurrence is unknown by it has many risk factors as; lack of sufficient gonadotropin hormones stimulation, exogenous estrogen administration by the mother, gubernaculums and epididymal anomalies in addition to many abnormalities of the abdominal wall [2].…”

Section: Introductionmentioning

confidence: 99%

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Surgical Management of Undescended Testis in Infants, Single Scrotal Incision Orchiopexy Versus Traditional Inguinal Approach: A Comparative Study

Elekiabi¹,

Oraby²,

Zaitoun³

et al. 2020

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Background: Surgical intervention is mostly needed in many cases of undescended testis to improve fertility; it is still unsure which approach is better than the other in management of undescended testicle in infants; classic inguinal approach or scrotal single incision approach. Aim of the current study was to compare between classic inguinal approach and scrotal single incision approach to perform orchiopexy for management of un-descended testis in infants and to clarify which is better; inguinal orchidopexy or scrotal orchidopexy. Patients and methods: we included forty male patients with undescended testis who were divided into two groups; group A included twenty patients and they were surgically managed with single transscrotal orchiopexy and group B included twenty patients and they were surgically managed with classic inguinal approach by two incisions (inguinal and scrotal). We assessed operative time and complications as wound infection, recurrence and testicular atrophy. Results: Operative time in group A was shorter than the operative time of group B which was managed by the inguinal approach (p=0.004). Immediate post-operative complications as; skin site infection, hematoma and edema, in group A were slightly more than the complications in group B (p=0.002). group A showed no recurrence or testicular atrophy after six months while group B showed 2 cases of recurrence and one case of testicular atrophy (p=0.005). At three months after surgery, cosmetic results and patients satisfaction of the incision scar was higher in group A than group B (p<0.001). Conclusions: performing orchiopexy through single scrotal incision approach is better than the approach of inguinal incision regarding operative time, rabid healing time, parents' satisfaction, fewer long-term complications, less incidence of testicular atrophy and recurrence.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionsupporting

confidence: 79%

Section: Discussionsupporting

confidence: 60%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Surgical Management of Undescended Testis in Infants, Single Scrotal Incision Orchiopexy Versus Traditional Inguinal Approach: A Comparative Study

Elekiabi¹,

Oraby²,

Zaitoun³

et al. 2020

View full text Add to dashboard Cite

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Comparison of scrotal and inguinal orchiopexy for palpable undescended testis: a meta-analysis of randomized controlled trials

Wahyudi,

Raharja,

Situmorang

et al. 2024

Pediatr Surg Int

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A Comparative Study between Single Scrotal Incision Orchiopexy and Traditional Inguinal Approach in Treatment of Children with Palpable Low-Lying Undescended Testis

Zaki

Elshamy

Moussa

2023

International Journal of Medical Arts

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Article informationBackground: The management of undescended testis encompasses both endocrine therapy and surgical intervention. Nevertheless, the efficacy of endocrine therapy is imprecise and linked with unfavorable outcomes. Consequently, surgical intervention remains the favored approach for addressing cases of undescended testis. Aim of the work:We aimed to compare the outcomes of single scrotal incision orchiopexy versus the traditional inguinal approach in the treatment of children suffering from the palpable low-lying undescended testis [PUDT].Patients and Methods: This is a prospective randomized controlled comparative study that included 40 patients presented with palpable low-lying undescended testis to the pediatric surgery outpatient clinic and admitted to the pediatric surgery unit at the general surgery department of Al-Azhar University Hospitals, Assiut. Patients were randomly divided into 2 equal groups 20 patients each: Group 1: underwent the traditional inguinal approach for orchiopexy. Group 2: underwent single scrotal incision orchiopexy. Results:As regards the operative time, we found that the mean operative time was higher in group 1 than in group 2 [30.5, and 22 minutes respectively], with a statistically significant difference between the two groups [P value = 0.001]. As regards the postoperative complications, we found that five patients [25%] in group 1 developed complications which is higher than that of group 2 in which the total reported complications were in 3 [15%.] patients. In terms of Wound infections and dehiscence, they were the most common postoperative complication in our study which represent 45% of the total reported complications. We reported four cases in the traditional inguinal approach orchiopexy group and 2 cases in the single scrotal incision orchiopexy group. Conclusion:As a less invasive surgical option for PUDT, single scrotal incision orchiopexy is safe, effective, promising, and potentially successful.

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A Comparative Study of Single Scrotal Incision Orchiopexy of Children with Palpable Low-Lying Undescended Testis with Traditional Inguinal Method

Cited by 4 publications

References 15 publications

Surgical Management of Undescended Testis in Infants, Single Scrotal Incision Orchiopexy Versus Traditional Inguinal Approach: A Comparative Study

Surgical Management of Undescended Testis in Infants, Single Scrotal Incision Orchiopexy Versus Traditional Inguinal Approach: A Comparative Study

Comparison of scrotal and inguinal orchiopexy for palpable undescended testis: a meta-analysis of randomized controlled trials

A Comparative Study between Single Scrotal Incision Orchiopexy and Traditional Inguinal Approach in Treatment of Children with Palpable Low-Lying Undescended Testis

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