title: Single scrotal incision orchiopexy for the palpable undescended testicle.
abstract: OBJECTIVE
  We prospectively evaluated the Bianchi single high scrotal incision technique for orchiopexy in boys with palpable undescended testis distal to the external inguinal ring.
  
  
  METHODS
  A total of 60 Bianchi orchiopexies were performed in 48 patients. We identified a group with primary undescended and secondary ascended testis, and a trapped testicle associated with previous inguinal surgery, respectively. Testicular position and size were assessed at 6 weeks of followup.
  
  
  RESULTS
  We evaluated group 1-34 patients with bilateral (8), right (17) and left (9) primary undescended testis, group 2-3 with secondary ascended testis and group 3-11 with bilateral (4), right (4) and left (3) trapped testis. Average surgical time was 15, 35 and 35 minutes, respectively. Four patients required conversion to a traditional inguinal incision to achieve adequate cord length. All but 2 patients had a palpable testicle of acceptable size compared with the contralateral mate in the dependent scrotum at the end of the operation and 6 weeks postoperatively. Those returning for 1-year followup had identical findings. In groups 1 and 2 a single testicle normal to palpation resided in a high scrotal position and 1 testis required secondary orchiectomy for infarction, respectively. Scrotal hematoma resolved spontaneously without injury to the testis in 1 case. No hernias were evident.
  
  
  CONCLUSIONS
  A single high scrotal incision for palpable primary, secondary ascended or even trapped testis is well tolerated, cosmetically pleasing and associated with a short operative time. The complication rate is acceptably low.
authors.affiliation: Department of Pediatric Urology, Children's Hospital, University of Colorado School of Medicine, Denver, Colorado, USA.
authors.forename: A P
authors.initials: AP
authors.lastname: Caruso
authors.forename: R A
authors.initials: RA
authors.lastname: Walsh
authors.forename: J W
authors.initials: JW
authors.lastname: Wolach
authors.forename: M A
authors.initials: MA
authors.lastname: Koyle
mesh_terms: D002675:Child, Preschool; D003456:Cryptorchidism / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D011446:Prospective Studies; D012611:Scrotum / Q000601:surgery*