Scrotal orchidopexy better than Inguinal orchidopexy for undescended testis: JAMA
orchidopexy
Undescended testis prevalence at birth and one year after is 2%–4% and less than 1%, respectively.
Surgical management is the recommended treatment for the congenital cryptorchidism in order to prevent testicular degeneration and improve fertility.
Surgical approach for undescended testicle in infants is debatable between classic inguinal approach or scrotal single incision approach.
So to clarify this, the researchers made a comparative study between classic inguinal approach (inguinal orchidopexy) and scrotal single incision approach (scrotal orchidopexy) in infants with un-descended testis . The trial details were published on the Journal of Surgery in October 2020.
A total of 40 male patients with undescended testis were included in the study.
They were divided into 2 groups, twenty patients in Group A and twenty patients in Group B patients in group A underwent single trans-scrotal orchiopexy surgery and patients in group B underwent inguinal orchidopexy [by two incisions (inguinal and scrotal)]. Researchers assessed primary outcomes such as operative time for the surgery and complications such as wound infection, recurrence and testicular atrophy.
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