Evaluation of Orchidopexy with or without Opening the External Oblique Fascia in Children with Superficial Inguinal Undescended Testis

Abstract

When investigating the surgical management of undescended testes, our study found differences in medial thigh sensory loss rate and procedure duration between the open and closed techniques. Operative treatment of UDT without opening the external oblique fascia is highly recommended.

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

“…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. 44 Furthermore, none of these randomized, controlled trials prespecified the minimal clinically important difference in operative time to justify sample size calculation; therefore, their conclusions should be interpreted with caution.…”

Effectiveness of Hormonal and Surgical Therapies for Cryptorchidism: A Systematic Review

“…Four studies were judged good quality, 27,45,49,52 1 fair quality, 32 and the remainder poor quality. [28][29][30][31][33][34][35][36][37][38][39][40][42][43][44][46][47][48]50,51,53 Eleven studies reported outcomes after either 1-stage FS orchiopexy, 2-stage FS orchiopexy, or primary orchiopexy. [36][37][38][39][40][42][43][44][45]47,48 Nine of these studies, all retrospective cohorts, provided success rates by surgical procedure, although the choice of surgical method is made clinically and not with the intent of comparative effectiveness.…”