<p>Comparison Between Processus Vaginalis Sac Tightening Technique and the Conventional Technique in Orchiopexy Surgery Over 10 Years</p>

Abstract

Background: Undescended testis (UDT) is a common congenital urogenital anomaly that is treated by orchiopexy. We aimed to introduce patent processus vaginalis (PPV) sac tightening (PVST) technique and compare it to the conventional technique. Methods: We retrospectively studied all the operated UDT patients during 10 years. In the conventional technique, it was necessary to ligate PPV sac after being peeled off from the spermatic cord. PVST was dissected longitudinally from the two sides of where the PPV sac wall was attached to the spermatic cord till the proximal part, and only a narrow thin layer sticking to the spermatic cord was left and the proximal PVV sac opening was tightened as much as possible with vicryl suture at the internal inguinal ring level. The significance level was <0.05. Results: Of 821 orchiopexy (mean age 24.5±24.2 months), 36.3% were done by conventional and 63.7% by PVST technique. Hematoma, edema, hydrocele, and wound infection were lower in the PVST technique, but it was not significant (p>0.05). Testicular atrophy and operation time were significantly lower in the PVST than the conventional technique (p<0.001). Conclusion:The orchiopexy PVST technique has lower complications and seems to be easier, faster and safer than the conventional technique.

Effect Of Closing Processus Vaginalis In Orchidopexy To Recurrence And Testicular Atrophy – 15 Years Follow-Up

“…In this study, the recurrence rate was found to be lower in patients whose PPV was not closed. Some studies suggested should not close the PPV after dissection but other studies recommend not close the PPV may lead a inguinal hernia [12]. In this study inguinal hernia was not observed in any of patients.…”

“…Dissection of PPV may lead a damage to spermatic cord and testicular vessels [12]. It's more risky in younger ages [6,7].…”

“…In this study; smaller testes sizes were got better after operation in both groups. Shirazi et al compared two groups of undescended testes [12]. In rst group they closed PPV, in second group they straiten PPV.…”

Case Report: Orchiopexy in Two Poodle Dogs and Its Effect on Their Sperm Quality Parameters

“…An orchiopexy is the surgical fixation of testicles in the scrotum (16). It can be performed through open surgery techniques or laparoscopy (17). The incidence of undescended testis (UDT) in humans is 1% in male infants, and it is considered as one of the most common congenital abnormalities in males (18).…”

Profile of Contralateral Patent Processus Vaginali in Pediatric Patients with Unilateral Inguinal Hernia

“…High ligation procedures and contralateral PPV diagnostics were carried out in accordance with standard surgery procedures applicable at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. The surgical procedure includes when the hernia sac is opened, the probe is attached and tied so that compressed abdominal air does not come out, and a laparoscopy camera is inserted with a 30-degree lens unruly peeking at the PPV counterpart (17) .…”