title: Single scrotal incision orchiopexy - a systematic review.
abstract: OBJECTIVE
  To conduct a systematic review on single scrotal incision orchiopexy.
  
  
  METHODS
  A search was performed using Pubmed, through which 16 articles were selected out of a total of 133. The following conditions were considered exclusion criteria: other surgical methods such as an inguinal procedure or a laparoscopic approach, retractile testes, or patients with previous testicular or inguinal surgery.
  
  
  RESULTS
  A total of 1558 orchiopexy surgeries initiated with a transcrotal incision were analyzed. Patients' ages ranged between 5 months and 21 years. Thirteen studies used high scrotal incisions, and low scrotal incisions were performed in the remainder of the studies. In 55 cases (3.53%), there was a need for inguinal incision. Recurrence was observed in 9 cases, testicular atrophy in 3, testicular hypotrophy in 2, and surgical site infections in 13 cases. High efficacy rates were observed, varying between 88% and 100%.
  
  
  CONCLUSIONS
  Single scrotal incision orchiopexy proved to be an effective technique and is associated with low rates of complications.
authors.affiliation: Section of Pediatric Urology, Division of Urology Bahiana School of Medicine and Federal University of Bahia and Federal University of Sao Paulo.
authors.forename: Hugo Fabiano Fernandes
authors.initials: HF
authors.lastname: Novaes
authors.forename: José Abraão
authors.initials: JA
authors.lastname: Carneiro Neto
authors.forename: Antonio
authors.initials: A
authors.lastname: Macedo
authors.forename: Ubirajara
authors.initials: U
authors.lastname: Barroso Júnior
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003456:Cryptorchidism / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D056126:Orchiopexy / Q000379:methods*; D012008:Recurrence; D012611:Scrotum / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult