Scrotal orchidopexy better than Inguinal orchidopexy for undescended testis: JAMA

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.

Key findings of the study were:

Researchers found the operation time taken for group A ( single trans-scrotal orchiopexy ) was comparatively less than group B ( inguinal orchidopexy).

The Immediate post-operative complications such as skin site infection, hematoma and edema, were slightly more in group A than the complications in group B.

The researchers also found group A showed no recurrence or testicular atrophy after six months while group B showed 2 cases of recurrence and one case of testicular atrophy.

At three months after surgery, cosmetic results and patients satisfaction of the incision scar was higher in group A than group B

The authors concluded, "performing orchiopexy through single scrotal incision approach is better than the approach of inguinal incision regarding operative time, rabid healing time, parent's satisfaction, fewer long-term complications, less incidence of testicular atrophy and recurrence".

For further information:

http://www.sciencepublishinggroup.com/journal/paperinfo?journalid=253&doi=10.11648/j.js.20200805.13