title: [Experience of the single scrotal approach for recurrent undescended testis after primary orchiopexy or inguinal surgery].
abstract: OBJECTIVE
  To report our experience of the unique scrotal incision for the redo cases of orchiopexy after previous inguinal surgery or orchiopexy for undescended testis with a special attention regarding the place of the single scrotal approach.
  
  
  METHODS
  Thirty-six patients operated between January 2003 and September 2015 in our surgical unit for secondary orchiopexy after previous inguinal surgery or orchiopexy for undescended testis (UDT) were included in a retrospective study. The secondary surgical procedure was initiated by a scrotal incision (Bianchi). In cases of difficulty by the scrotal incision an inguinal approach by the prior skin inguinal incision was performed. Patients were divided in two groups a group 1 of 10 patients with reascending testis following inguinal hernia repair and a group 2 of 26 patients with reascending testis after previous orchiopexy for UDT. A good result was defined as testis in scrotal position without evidence of atrophy.
  
  
  RESULTS
  All the patients of group 1 were treated by a unique scrotal incision. In group 2, seven patients required a complementary inguinal approach. One hematoma complicated a scrotal procedure leading to a testicular atrophy. A good result was achieved in 35/36 patients (97%).
  
  
  CONCLUSIONS
  Single scrotal incision is an efficient and easy way to perform secondary orchiopexy after hernia repair. After surgery for UDT, as for primary cases, it cannot be an exclusive approach, higher testis need a combined or an inguinal approach.
  
  
  METHODS
  5.
authors.affiliation: Service de chirurgie pédiatrique, CHU de Caen, avenue Côte-de-Nacre, 14000 Caen, France; UFR médecine, université de Caen Basse-Normandie, 14000 Caen, France. Electronic address: jbaptistemarret@yahoo.fr.
authors.forename: J-B
authors.initials: JB
authors.lastname: Marret
authors.affiliation: Service de chirurgie pédiatrique, CHU de Caen, avenue Côte-de-Nacre, 14000 Caen, France; UFR médecine, université de Caen Basse-Normandie, 14000 Caen, France.
authors.forename: P
authors.initials: P
authors.lastname: Ravasse
authors.affiliation: UFR médecine, université de Caen Basse-Normandie, 14000 Caen, France; Service d'urologie, CHU de Caen, 14000 Caen, France.
authors.forename: K
authors.initials: K
authors.lastname: Guleryuz
authors.affiliation: Service de chirurgie pédiatrique, CHU de Caen, avenue Côte-de-Nacre, 14000 Caen, France; UFR médecine, université de Caen Basse-Normandie, 14000 Caen, France.
authors.forename: A
authors.initials: A
authors.lastname: Haffreingue
authors.affiliation: Service de chirurgie pédiatrique, CHU de Caen, avenue Côte-de-Nacre, 14000 Caen, France; UFR médecine, université de Caen Basse-Normandie, 14000 Caen, France.
authors.forename: J
authors.initials: J
authors.lastname: Rod
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003456:Cryptorchidism / Q000601:surgery*; D006119:Groin; D006801:Humans; D007223:Infant; D008297:Male; D056126:Orchiopexy / Q000379:methods*; D012008:Recurrence; D012086:Reoperation; D012189:Retrospective Studies; D012611:Scrotum / Q000601:surgery*
keywords: Incision scrotale unique; Orchidopexie; Orchiopexy; Reascending testis; Redo procedures; Reprise chirurgicale; Single scrotal approach; Testicule réascensionné