Single scrotal incision orchiopexy - a systematic review

Abstract

Single scrotal incision orchiopexy proved to be an effective technique and is associated with low rates of complications.

A tailored surgical approach to the palpable undescended testis

“…At a mean follow-up of 48.3 months, the success rate in this series was 98%. This result is comparable with that found in the published literature [13,14]. Any case of postoperative acquired inguinal hernia or hydrocele was not encountered, and conversion to inguinal orchiopexy was not required during any trans-scrotal cases.…”

Management of undescended testes: European Association of Urology/European Society for Paediatric Urology Guidelines

“…Surgery for palpable testes includes orchidolysis and orchidopexy, either via an inguinal or scrotal approach. The latter approach is mainly reserved for low-positioned, undescended testes, with the pros and cons of each method being weighed against each other [40].…”

“…A systematic review showed that overall success rates ranged from 88% to 100%, with rates of recurrence and postoperative testicular atrophy or hypotrophy of <1% [40].…”

Canadian Urological Association-Pediatric Urologists of Canada (CUA-PUC) guideline for the diagnosis, management, and followup of cryptorchidism

“…Overall, success rates ranged from 88-100%. 42 In comparison to standard inguinal orchidopexy, recent evidence from observational studies has suggested that the scrotal approach has equivalent success rates and complications, with advantage of a significantly shorter operative time. 38,39,43 At least two randomized, controlled trials comparing the two techniques (inguinal vs. scrotal) have been attempted and essentially confirmed those findings; 44,45 however, in one of the studies the authors also report mean length of stay above two days for both procedures, which questions the generalizability of the conclusions to our environment, where these procedures are almost universally undertaken on an outpatient basis.…”