Prescrotal Orchiopexy for the Palpable Undescended Testicle (UDT): Initial Experience and Comparison with The Standard Inguinal Approach
M., S., Sawaqed, F., Al-Khitan, S., El-Hout, Y. (2013). Prescrotal Orchiopexy for the Palpable Undescended Testicle (UDT): Initial Experience and Comparison with The Standard Inguinal Approach. EKB Journal Management System, 53(1), 869-873. doi: 10.12816/0001649
Suoub M.; Fadi Sawaqed; Sayel Al-Khitan; Yaser El-Hout. "Prescrotal Orchiopexy for the Palpable Undescended Testicle (UDT): Initial Experience and Comparison with The Standard Inguinal Approach". EKB Journal Management System, 53, 1, 2013, 869-873. doi: 10.12816/0001649
M., S., Sawaqed, F., Al-Khitan, S., El-Hout, Y. (2013). 'Prescrotal Orchiopexy for the Palpable Undescended Testicle (UDT): Initial Experience and Comparison with The Standard Inguinal Approach', EKB Journal Management System, 53(1), pp. 869-873. doi: 10.12816/0001649
M., S., Sawaqed, F., Al-Khitan, S., El-Hout, Y. Prescrotal Orchiopexy for the Palpable Undescended Testicle (UDT): Initial Experience and Comparison with The Standard Inguinal Approach. EKB Journal Management System, 2013; 53(1): 869-873. doi: 10.12816/0001649

Prescrotal Orchiopexy for the Palpable Undescended Testicle (UDT): Initial Experience and Comparison with The Standard Inguinal Approach

The Egyptian Journal of Hospital Medicine
Article 14, Volume 53, Issue 1, October 2013, Page 869-873  XML PDF (326.69 K)
Document Type: Original Article
DOI: 10.12816/0001649
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Authors
Suoub M.; Fadi Sawaqed; Sayel Al-Khitan; Yaser El-Hout
Section of Urology medical school, Mu’tah University, Karak Teaching Hospital, Jordan
Abstract
Objective:  To review our initial experience with prescrotal orchipexy, to illustrate this surgical approach, and to compare it with the standard two incision inguinal approach.
Material and Methods: This is a single institution retrospective comparative review of 135 patients (pts) who underwent orchiopexy for UDT over 4 years. Pts undergoing the standard inguinal orchiopexy were compared to those undergoing the emerging single-incision prescrotal approach in regards to operative time, complications and cosmesis.
Results: The study was completed on 96 pts who met the inclusion criteria. Group A (72 pts, 75%) underwent the standard two-incision inguinal orchiopexy while Group B (24 pts, 25%) underwent the single-incision prescrotal orchiopexy. Average age at surgery was 3.2 years, with a mean follow up of 13 months. Average operative time was 56 minutes for Group A and 32 minutes for Group B, by using SPSS significant P value difference (p < 0.05) was calculated . All patients from the two groups had uneventful postoperative period with one pt in Group A who had a scrotal wound infection. None of the pts in Group B need conversion to the inguinal approach. At last follow-up, all patients in both groups had testicles in the scrotum with no atrophy. While the cosmetic appearance in Group A was acceptable, cosmesis in Group B was superior.
Conclusion: Prescrotal orchipexy is a safe alternative to the standard inguinal orchiopexy for the palpable UDT. Our study demonstrates similar outcome, shorter operative time and superior cosmesis.
 
Keywords
undescended testicle; single incision; orchiopexy
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