Scrotal Approach for Palpable Undescended Testis - Abstract
Undescended testis is one of the most common surgical disorders of childhood, with a rate of 3% among full-term infants and 30% in preterm infants. The traditional orchidopexy has been described by Schuller (1881) and Bevan (1899/1903). Which need two incisions, one inguinal incision to mobilize the cord structure and a second scrotal incision to fix the testes within the scrotum. Single scrotal incision orchidopexy (SSIO) was first described by Bianchi and Squire 1989.
Aim of the study: To evaluate the short term outcome of scrotal approach for palpable undescended testis.
Patients and methods: This is a prospective clinical study done at Zagazig University and international medical center Jeddah during the period from 2013 to 2015, all patients with palpable undescended testis have been included in the study, and all patients were operated by scrotal orchidopexy.
Results: This study includes 80 patients with 101 undescended testis underwent single scrotal incision orchidopexy, the mean age at operation was16 ± 7.2 months, the mean operative time was 30.8 ± 10.4 minutes, the mean follow-up was 4.7 ± 2.4 months, the incidence patent process vaginalais was 8 (7.9%) s, the success rate was 82.1%, conversion to traditional approach were in 18(17.8%), post-operative scrotal hematoma was found in 3 (3.75%), post (17.8%)operative wound infection was found in1 (1.25%). There was no cases of post-operative hernia, hydrocele or testicular ascend or atrophy.
Conclusion: Single incision transscrotal orchidopexy is safe and effective in up to 82.1% of cases of palpable undescended testis