Single high scrotal incision orchidopexy for unilateral palpable testis: a randomised controlled study.
BACKGROUND
Bianchi and Squire introduced single high trans-scrotal incision for mobilisation of palpable undescended testes to decrease the potential morbidity of the traditional inguinal approach. This incision has not gained widespread acceptance and there is still a considerable debate about its efficacy. This study evaluated the outcome of high single scrotal incision in comparison to the classic inguinal exploration for unilateral palpable testes regardless to its pre-operative location to assure its validity and safety.


METHODS
This was a randomised controlled study conducted on seventy males with palpable unilateral undescended testicles from November 2009 to October 2013. They were divided into two equal groups; group I had high single scrotal incision and group II had the classic inguinal approach. The comparative parameters between both groups were the operative time, intra-and post-operative complications, post-operative pain and scar.


RESULTS
There was statistical significant difference between both groups regarding the operative time (P < 0.001). The high scrotal approach (Group I) was not completed in three cases and were converted to the classic inguinal approach. No statistical significant difference between both groups regarding the post-operative complications.


CONCLUSIONS
Single high scrotal incision orchidopexy for palpable undescended testis is safe, has shorter operative time but may not be suitable for proximally lying testis.
Department of Pediatric Surgery, Assiut University Children Hospital, Asyut, Egypt.
Almoutaz A
AA
Eltayeb
D002648:Child; D002675:Child, Preschool; D003456:Cryptorchidism / Q000175:diagnosis* / Q000601:surgery*; D003906:Developing Countries; D004534:Egypt; D005500:Follow-Up Studies; D006776:Hospitals, Pediatric; D006801:Humans; D007223:Infant; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D056126:Orchiopexy / Q000379:methods*; D010149:Postoperative Pain / Q000188:drug therapy / Q000503:physiopathology; D018570:Risk Assessment; D012611:Scrotum / Q000601:surgery*; D016896:Treatment Outcome