title: Single scrotal incision orchiopexy versus the inguinal approach in children with palpable undescended testis: a systematic review and meta-analysis.
abstract: OBJECTIVE
  We performed a systematic review and meta-analysis to compare the efficacy and safety between single-incision, transscrotal orchidopexy, and the traditional inguinal orchidopexy in children.
  
  
  METHODS
  A systematic search of the electronic databases was conducted to identify studies compared the transscrotal orchidopexy (SO) and inguinal orchidopexy (IO) for children. Parameters, such as operative time, the incidence of patent processus vaginalis, and postoperative complications, including wound infection, testicular atrophy, testicular reascent, hernia, or hydrocele, were pooled and compared by meta-analysis.
  
  
  RESULTS
  Among the 1376 children with palpable undescended testes (UDTs) included in the eight studies, 697 had received SO and 679 IO. There were shorter operative times with the SO approach compared with IO. However, no significant difference was found between SO and IO in the incidence of patent processus vaginalis and postoperative complications, including wound infection, testicular atrophy, testicular reascent, and hernia.
  
  
  CONCLUSIONS
  SO is a safe and effective surgical approach alternative to IO for pediatric UDTs. Compared with IO, SO has the advantage of shorter operative times. Besides, the incidence of postoperative wound infection may be slightly lower in SO. We suggest that SO should be considered as an acceptable option for children with UDTs.
authors: Department of Pediatric Surgery, Hangzhou Children's Hospital, No. 195 Wenhui Rd, Xiacheng district, Hangzhou, 310015, China.
authors: Shaoguang
authors: S
authors: Feng
authors: Department of Pediatric Surgery, Hangzhou Children's Hospital, No. 195 Wenhui Rd, Xiacheng district, Hangzhou, 310015, China.
authors: Huajun
authors: H
authors: Yang
authors: Department of Pediatric Surgery, Hangzhou Children's Hospital, No. 195 Wenhui Rd, Xiacheng district, Hangzhou, 310015, China.
authors: Xiang
authors: X
authors: Li
authors: Department of Pediatric Surgery, Hangzhou Children's Hospital, No. 195 Wenhui Rd, Xiacheng district, Hangzhou, 310015, China.
authors: Junjia
authors: J
authors: Yang
authors: Department of Pediatric Surgery, Hangzhou Children's Hospital, No. 195 Wenhui Rd, Xiacheng district, Hangzhou, 310015, China.
authors: Jie
authors: J
authors: Zhang
authors: Department of Pediatric Surgery, Hangzhou Children's Hospital, No. 195 Wenhui Rd, Xiacheng district, Hangzhou, 310015, China.
authors: Aihe
authors: A
authors: Wang
authors: Institute of Inflammation and Diseases, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
authors: Xin-He
authors: XH
authors: Lai
authors: Department of Pediatric Surgery, Hangzhou Children's Hospital, No. 195 Wenhui Rd, Xiacheng district, Hangzhou, 310015, China. hzchfeng123@163.com.
authors: Yuhui
authors: Y
authors: Qiu
mesh_terms: D002675:Child, Preschool; D003456:Cryptorchidism / Q000601:surgery*; D006801:Humans; D008297:Male; D061646:Operative Time; D056126:Orchiopexy / Q000379:methods*; D011183:Postoperative Complications; D012611:Scrotum / Q000601:surgery*; D016896:Treatment Outcome
keywords: Children; Inguinal orchidopexy; Meta-analysis; Ttransscrotal orchiopexy