“…When rst de ned, percutaneous internal ring suturing (PIRS) was achieved using multiple ports; however, in 2006, Patkowski described a PIRS technique performed with a single port. Many centers have widely and quickly adopted this modi ed technique [2,3,4,5]. Although PIRS is de ned as a safe method in girls, in boys, the possibility of compression of the spermatic cord by the suture and injury during the passage of the needle is still the subject of ongoing debate [6].…”