Single Scrotal Incision Orchiopexy for Palpable Undescended Testis

Handa, R; Kale, R; Harjai, MM; Minocha, Ashish

doi:10.1016/s1015-9584(09)60289-x

Cited by 18 publications

(16 citation statements)

References 9 publications

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“…Parents and caregivers' awareness was low, whereas anxiety over children diagnosed with undescended was high, but their cooperation during follow-up was achieved after adequate counseling. Subdartos fixing of the testis using combined groin and scrotal incisions was the type of orchidopexy done, and this gave satisfactory results in the 121 testes that failed to descend, which was similar to the results achieved with other methods reported by earlier authors [18,19].…”

Section: Discussionsupporting

confidence: 83%

The prevalence, postnatal descent, and complications of undescended testes among children who underwent neonatal circumcision in Benin City, Nigeria

Osifo

Osaigbovo

2009

Journal of Pediatric Surgery

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Section: Discussionsupporting

confidence: 83%

The prevalence, postnatal descent, and complications of undescended testes among children who underwent neonatal circumcision in Benin City, Nigeria

Osifo

Osaigbovo

2009

Journal of Pediatric Surgery

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“…This couple with the relative mobility of the skin in the inguinal region allows retraction of the skin incision, thereby enabling dissection through the scrotum without opening the inguinal canal. These facts led other workers to believe that single scrotal orchidopexy rather than two incisions may be adequate for orchidopexy in patients with a palpable, low-lying testis [8,10,11,14]. In 1989, Bianchi and Squire developed single-incision high scrotal orchidopexy (trans-scrotal) after observing that most palpable undescended testes were held by a shortened processus vaginalis.…”

Section: Discussionmentioning

confidence: 99%

“…They observed that the technique is simple and adequate for palpable testes, especially those distal to the inguinal canal with excellent cosmesis. Trans-scrotal orchidopexy has shown excellent anatomical and cosmetic results at 6 months of follow-up [9,11,12]. Up till now, there are few prospective studies comparing trans-scrotal orchidopexy with conventional orchidopexy for palpable undescended testis.…”

Section: Introductionmentioning

confidence: 99%

Trans-scrotal single-incision orchidopexy compared with conventional orchidopexy in palpable undescended testis in a Nigerian Tertiary Hospital

Talabi¹,

Sowande²,

Anyanwu³

et al. 2015

Annals of Pediatric Surgery

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Background The standard method of treatment of palpable undescended testes is through inguinal mobilization and a scrotal sub-dartos pouch. Trans-scrotal single-incision orchidopexy may be a suitable alternative.Aim The aim of this study was to assess as to how trans-scrotal orchidopexy compares with conventional orchidopexy in terms of the suitable placement of the testis in a dependent position in the scrotum and the surgical outcome.Patients and methods Forty children with 42 palpable undescended testes were randomly allotted into the conventional and the trans-scrotal orchidopexy groups over an 18-month period. The age, the testicular position, the side involved, the length of the vas gained after isolation and the division of the processus vaginalis, as well as the placement of the testes in the sub-dartos pouch without tension, were recorded. Postoperative complications and the subjective score of the cosmetic appearance of the scars during follow-up for at least 6 months. Success was defined as suitable placement of the testes in the sub-dartos pouch during operation, no conversion of patients in the single-orchidopexy group to the conventional inguinal approach, no complications and excellent cosmetic appearance of scars. ResultsThe two study groups were well matched for age and testicular positions. About 22 (55%) patients had rightsided undescended testes and 16 (40%) had left-sided undescended testes, and in two (5%) patients, it was bilateral. All testes were satisfactorily placed in the subdartos pouch at surgery. Testicular retraction was observed in one patient in the conventional group, but in two patients in the trans-scrotal group. All wounds healed satisfactorily without infection. The overall wound complication rate in the trans-scrotal and the conventional groups were 2/21 and 3/21, respectively. In terms of the cosmetic appearance of the scar, patients in the trans-scrotal group had excellent cosmetic appearance as the scars were less visible and hidden in the rugal fold compared with the conventional method.Conclusion Trans-scrotal orchidopexy for palpable undescended testis is simple, safe and has a better cosmetic scar compared with the conventional approach.

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“…The incidence of cryptorchidism has remained constant over the years and its incidence is reported to decrease from between 3-5% at full-term birth to approximately 0.8% at 1 year [1,3,5]. Undescended testes are commonly categorised as being impalpable or palpable, which include imperfectly descended and ectopic testes [2,7].…”

Section: Discussionmentioning

confidence: 99%

“…Undescended testes are commonly categorised as being impalpable or palpable, which include imperfectly descended and ectopic testes [2,7]. The majority of palpable testes lie distal to the inguinal canal or close to the external inguinal ring [5].…”

Section: Discussionmentioning

confidence: 99%

Bianchi high scrotal approach revisited

Samuel

Izzidien

2008

Pediatr Surg Int

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Cryptorchidism is a common paediatric complaint and is traditionally managed surgically by orchidopexy. We aimed to prospectively review the success of the Bianchi high scrotal incision technique for performing orchidopexy in boys with palpable non-descended testis. A total of 206 orchidopexies were performed in 85 patients during a 5-year period. Testicular position was assessed at follow-up clinics at 6 weeks, 6 months and 2 years. Patients were also asked if they were pain free at each subsequent visit. A total of 206 Bianchi orchidopexies were performed successfully in 156 patients; one patient required an additional inguinal incision. The only post-operative complications were infections in two patients. Testes were palpable and remained in the scrotal sac after 6 weeks, 6 months and 2 years in 122 patients. Scarring was minimal and all patients and their parents were happy with the cosmetic appearance of the testes at follow-up. Our results led us to conclude that the high scrotal single incision Bianchi technique should be recommended to replace the traditional inguinal approach, which requires an additional incision in the management of undescended testis within the inguinal canal.

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Single Scrotal Incision Orchiopexy for Palpable Undescended Testis

Abstract: Single scrotal incision orchiopexy without ligation of the patent processus vaginalis has proved to be simple, safe and effective in selected cases compared with the standard two-incision approach in the treatment of palpable undescended testis.

Cited by 18 publications

References 9 publications

The prevalence, postnatal descent, and complications of undescended testes among children who underwent neonatal circumcision in Benin City, Nigeria

The prevalence, postnatal descent, and complications of undescended testes among children who underwent neonatal circumcision in Benin City, Nigeria

Trans-scrotal single-incision orchidopexy compared with conventional orchidopexy in palpable undescended testis in a Nigerian Tertiary Hospital

Bianchi high scrotal approach revisited

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