Transscrotal orchidopexy: orchidopexy revised

Bianchi, A.; Squire, B.R.

doi:10.1007/bf00181983

Cited by 142 publications

(106 citation statements)

References 5 publications

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“…However, since Bianchi and Squire [3] first described transscrotal orchidopexy, there have been several reports showing that this approach offers excellent results. They operated on 120 undescended testes using a high scrotal incision and found that an additional inguinal incision was needed in 5 of 120 orchidopexies; their failures were attributable to a high testicular position, which was associated with a shorter than normal vascular pedicle.…”

Section: Discussionmentioning

confidence: 99%

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Low Transscrotal Orchidopexy Is a Safe and Effective Approach for Undescended Testes Distal to the External Inguinal Ring

et al. 2009

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Objectives: To review the results of a low transscrotal orchidopexy in patients with palpable undescended testes located distal to the external inguinal ring. Methods: Between July 1998 and June 2005, transscrotal orchidopexy with a single low scrotal incision was performed in 32 patients for 49 undescended testes. The indication was an undescended testis that lay distal to the external ring and could be pulled down manually into the scrotum under general anesthesia. Results: All testes that were treated with the low transscrotal approach were successfully fixed in the middle or lower portion of the scrotum. The mean operative time was significantly shorter for the low transscrotal orchidopexy (45.2 min) than for the inguinal orchidopexy (66.6 min) for 107 undescended testes at similar locations. The median follow-up duration was 39.1 months; all testes except 1 (97.7%) were located in a good position within the scrotum and had a good consistency; 1 testis ascended postoperatively and required inguinal orchidopexy. No inguinal hernias or hydroceles occurred after the surgery. Conclusions: Low transscrotal orchidopexy appears to be an excellent alternative to the standard inguinal orchidopexy for undescended testes located distal to the external inguinal ring.

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Section: Discussionmentioning

confidence: 99%

“…In 1989, Bianchi and Squire [3] introduced a single-incision, transscrotal approach for orchidopexy in order to decrease the potential morbidity of inguinal incision. The dartos pouch in the transscrotal approach can be made without any difficulties in the same way as the standard orchidopexy [4] .…”

Section: Introductionmentioning

confidence: 99%

Low Transscrotal Orchidopexy Is a Safe and Effective Approach for Undescended Testes Distal to the External Inguinal Ring

et al. 2009

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“…The scrotal approach for management of cryptorchidism was first described by Bianchi in 1989, 36 and has since gained wide acceptance. [37][38][39][40][41] Evidence suggests that most palpable testicles can be successfully managed through this incision.…”

Section: Scrotal Orchidopexymentioning

confidence: 99%

Canadian Urological Association-Pediatric Urologists of Canada (CUA-PUC) guideline for the diagnosis, management, and followup of cryptorchidism

Braga

Lorenzo

Romao

2017

CUAJ

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“…Bianchi's procedure is described elsewhere by its creators, Bianchi and Squire [2]. Operative photos however are included below outlining main elements of the procedure.…”

Section: Methodsmentioning

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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Transscrotal orchidopexy: orchidopexy revised

Cited by 142 publications

References 5 publications

Low Transscrotal Orchidopexy Is a Safe and Effective Approach for Undescended Testes Distal to the External Inguinal Ring

Low Transscrotal Orchidopexy Is a Safe and Effective Approach for Undescended Testes Distal to the External Inguinal Ring

Canadian Urological Association-Pediatric Urologists of Canada (CUA-PUC) guideline for the diagnosis, management, and followup of cryptorchidism

Bianchi high scrotal approach revisited

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