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Single scrotal-incision orchidopexy for palpable undescended testis in children.

Zouari M, Dhaou MB, Jallouli M, Mhiri R - Arab J Urol (2014)

Bottom Line: At 3 months after surgery the overall cosmetic result was excellent.The SSIO is minimal-access surgery allowing less dissection, less discomfort for the patient, rapid healing, excellent cosmetic results and a good success rate.This technique is safe and effective for undescended testes palpable in the inguinal canal or below the external inguinal ring.

View Article: PubMed Central - PubMed

Affiliation: Department of Paediatric Surgery, Hedi Chaker Hospital, Sfax, Tunisia.

ABSTRACT

Objective: To evaluate the single scrotal-incision orchidopexy (SSIO) technique in patients with an undescended testis palpable in the inguinal canal or below the external inguinal ring.

Patients and methods: Between January 2011 and December 2013 we performed 100 SSIOs in 89 patients. The mean (range) follow-up was 9 (3-36) months.

Results: In 88 testes the SSIO was performed with no difficulties. In four patients an additional dissection by opening the external ring and canal was necessary; none of these patients developed an inguinal hernia after surgery. In eight patients conversion to an inguinal approach was necessary because of difficulty in controlling the hernial sacs and inadequate mobilisation. At the follow-up assessment, of the 89 patients, none developed testicular atrophy, one (1%) had wound dehiscence and four (5%) had a scrotal haematoma. There was no statistically significant difference between the testicular size at baseline and that during the follow-up. At 3 months after surgery the overall cosmetic result was excellent.

Conclusion: The SSIO is minimal-access surgery allowing less dissection, less discomfort for the patient, rapid healing, excellent cosmetic results and a good success rate. This technique is safe and effective for undescended testes palpable in the inguinal canal or below the external inguinal ring.

No MeSH data available.


Related in: MedlinePlus

A preoperative image showing the presumed location of the scrotal incision (black arrow), external inguinal ring (white arrow) and testis position (circle).
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f0005: A preoperative image showing the presumed location of the scrotal incision (black arrow), external inguinal ring (white arrow) and testis position (circle).

Mentions: Between January 2011 and December 2013, we performed 100 SSIOs in 89 patients. We excluded children with an ectopic testis (three) and those who had a history of previous inguinal surgery. All children were examined while supine, on at least two occasions, before and after the induction of general anaesthesia (Fig. 1), by the primary surgeon to confirm the diagnosis of a palpable undescended testis and to determine its location. Testicular size was measured at baseline and during the follow-up. All procedures were performed by one surgeon.


Single scrotal-incision orchidopexy for palpable undescended testis in children.

Zouari M, Dhaou MB, Jallouli M, Mhiri R - Arab J Urol (2014)

A preoperative image showing the presumed location of the scrotal incision (black arrow), external inguinal ring (white arrow) and testis position (circle).
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4561924&req=5

f0005: A preoperative image showing the presumed location of the scrotal incision (black arrow), external inguinal ring (white arrow) and testis position (circle).
Mentions: Between January 2011 and December 2013, we performed 100 SSIOs in 89 patients. We excluded children with an ectopic testis (three) and those who had a history of previous inguinal surgery. All children were examined while supine, on at least two occasions, before and after the induction of general anaesthesia (Fig. 1), by the primary surgeon to confirm the diagnosis of a palpable undescended testis and to determine its location. Testicular size was measured at baseline and during the follow-up. All procedures were performed by one surgeon.

Bottom Line: At 3 months after surgery the overall cosmetic result was excellent.The SSIO is minimal-access surgery allowing less dissection, less discomfort for the patient, rapid healing, excellent cosmetic results and a good success rate.This technique is safe and effective for undescended testes palpable in the inguinal canal or below the external inguinal ring.

View Article: PubMed Central - PubMed

Affiliation: Department of Paediatric Surgery, Hedi Chaker Hospital, Sfax, Tunisia.

ABSTRACT

Objective: To evaluate the single scrotal-incision orchidopexy (SSIO) technique in patients with an undescended testis palpable in the inguinal canal or below the external inguinal ring.

Patients and methods: Between January 2011 and December 2013 we performed 100 SSIOs in 89 patients. The mean (range) follow-up was 9 (3-36) months.

Results: In 88 testes the SSIO was performed with no difficulties. In four patients an additional dissection by opening the external ring and canal was necessary; none of these patients developed an inguinal hernia after surgery. In eight patients conversion to an inguinal approach was necessary because of difficulty in controlling the hernial sacs and inadequate mobilisation. At the follow-up assessment, of the 89 patients, none developed testicular atrophy, one (1%) had wound dehiscence and four (5%) had a scrotal haematoma. There was no statistically significant difference between the testicular size at baseline and that during the follow-up. At 3 months after surgery the overall cosmetic result was excellent.

Conclusion: The SSIO is minimal-access surgery allowing less dissection, less discomfort for the patient, rapid healing, excellent cosmetic results and a good success rate. This technique is safe and effective for undescended testes palpable in the inguinal canal or below the external inguinal ring.

No MeSH data available.


Related in: MedlinePlus