Single scrotal incision orchiopexy for palpable undescended testis.
OBJECTIVE
To prospectively evaluate the Bianchi single scrotal incision technique for orchiopexy in boys with palpable undescended testis.


METHODS
A total of 35 orchiopexies were performed in 28 patients. The patent processus vaginalis was dissected and cut high without ligation, while in Bianchi's original procedure, the patent processus vaginalis is dissected up to the external inguinal canal, ligated high and divided. Testicular size and position were assessed at 2 and 6 weeks and 6 months.


RESULTS
The single incision technique was successful in all cases. All testes were satisfactorily positioned in the scrotum. All testes showed good anatomical and cosmetic results at 6-month follow-up.


CONCLUSIONS
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.
Handa
Rakesh
R
Department of Paediatric Surgery, Army Hospital (Research and Referral), A-49 New Friends Colony, New Delhi-110065, India. drrakeshhanda@gmail.com
Kale
Ravi
R
Harjai
Manmohan
M
Minocha
Ashish
A
D002648:Child; D002675:Child, Preschool; D003456:Cryptorchidism / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D011446:Prospective Studies; D012611:Scrotum / Q000601:surgery*; D016896:Treatment Outcome; D013521:Urologic Surgical Procedures, Male / Q000379:methods*