Balloon inflation-created subdartos pouch during orchiopexy: a new simplified technique

Abstract

The new technique of balloon inflation-created subdartos pouch during orchiopexy is an easy, safe bloodless and quick technique with good cosmetic outcome.

The unidirectional testicular tunneller: a simple, safe and novel device for orchidopexy in patients with palpable undescended testes

“…The use of a Foley catheter in the creation of a dartos pouch has previously been described [11,12] to distend the scrotal sac, stretch parietal layers and enable quick bloodless dissection. Whilst that expansion is not possible with this device, it offers the advantage of being able to cut down onto the instrument directly whilst stabilising it with the other hand.…”

“…Various techniques are currently used for orchidopexy; these include laparoscopic approaches [7], scrotal incision only [13] and the use of a balloon catheter [11,12] to assist in the formation of the dartos pouch. The use of a traditional two incision orchidopexy remains an approach used either primarily or as a back up, should orchidopexy not be achieved by the alternative method [7,13].…”

Management of Undescended Testis

“…The probability of successful orchidopexy was assumed to be 96%, the average of success rates found in literature [31][32][33][34][35][36][37][38][39][40] weighted by the number of orchidopexies on which they are based. We assumed that of all primary surgical interventions that were not successful, in half of them reoperation would be possible and in the remaining half reoperation would not be possible given the unacceptably high risk of testis atrophy.…”