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Published on: November 17, 2023
Single scrotal incision orchiopexy - a systematic review
Hugo Fabiano Fernandes Novaes1, José Abraão Carneiro Neto, Antonio Macedo
1Section of Pediatric Urology, Division of Urology Bahiana School of Medicine and Federal University of Bahia and Federal University of Sao Paulo.
Summary
Single scrotal incision orchiopexy is an effective surgical technique for undescended testes, demonstrating high success rates and minimal complications in a systematic review of over 1500 procedures.
Area of Science:
- Pediatric Surgery
- Urology
Background:
- Orchiopexy is a surgical procedure to correct undescended testes.
- Minimally invasive surgical approaches are increasingly preferred.
Purpose of the Study:
- To systematically review the efficacy and safety of single scrotal incision orchiopexy.
Main Methods:
- A systematic literature search was conducted on Pubmed.
- 16 articles comprising 1558 orchiopexy surgeries were selected for analysis.
- Exclusion criteria included inguinal or laparoscopic approaches, retractile testes, and prior testicular surgery.
Main Results:
- The review analyzed 1558 single scrotal incision orchiopexies in patients aged 5 months to 21 years.
- High efficacy rates (88-100%) were observed.
- Complication rates were low, including 3.53% requiring inguinal incision, 0.58% recurrence, 0.19% testicular atrophy, 0.13% testicular hypotrophy, and 0.83% surgical site infections.
Conclusions:
- Single scrotal incision orchiopexy is a highly effective surgical technique.
- This approach is associated with a low incidence of complications.