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High single scrotal-incision orchidopexy as the standard technique in infants aged 6-24 months
Ahmed Mohey1, Tarek M Gharib1, Rabea G Omar1
1Department of Urology, Benha University Hospital, Faculty of Medicine, Benha University, Benha, Egypt.
Insights
High single scrotal-incision orchidopexy (HSSIO) is a safe and effective treatment for palpable undescended testes in infants. This minimally invasive technique achieved a 98% success rate in infants aged 6-24 months.
Area of Science:
- Pediatric Surgery
- Urology
- Minimally Invasive Surgery
Background:
- Undescended testes (cryptorchidism) affect a significant number of male infants.
- Orchidopexy is the surgical procedure to correct undescended testes.
- The high single scrotal-incision orchidopexy (HSSIO) offers a minimally invasive approach.
Purpose of the Study:
- To evaluate the effectiveness and safety of HSSIO for palpable undescended testis (PUDT).
- To assess HSSIO in infants aged 6-24 months.
Main Methods:
- A prospective study of 57 PUDT in 46 infants (6-24 months) undergoing HSSIO.
- Exclusion of ectopic, retractile, and recurrent cases.
- Data collection included operative time, complications, and 6-month follow-up.
Main Results:
- HSSIO demonstrated a high success rate of 98% (56/57 cases).
- Mean operative time was 23.45 minutes.
- A hernia sac was present in 68.4% of cases; only one instance of scrotal hematoma occurred.
Conclusions:
- HSSIO is a safe, feasible, and highly effective technique for infant orchidopexy.
- The procedure offers significant benefits and should be considered a standard approach.
- This method is particularly suitable for infants aged 6-24 months.
Objective:
To prospectively investigate the effectiveness of high single scrotal-incision orchidopexy (HSSIO) for palpable undescended testis (PUDT) in infants aged 6-24 months.
Patients And Methods:
From March 2012 to July 2014, 46 age range-restricted (6-24 months) infants with 57 PUDT underwent HSSIO after obtaining written consent from their parents. The exclusion criteria were ectopic, retractile testes and recurrent cases. All infants were examined before surgery in the outpatient department and after anaesthesia induction immediately before surgery. All infants had general anaesthesia with a caudal block. The operative time, intraoperative and postoperative complications, and follow-up of the infants at 0.5, 3 and 6 months were recorded and analysed.
Results:
The mean (SD; range) operative time was 23.45 (3.28; 18-29) min. A hernia sac was found in 39 (68.4%) UDTs. For postoperative complications, only one infant developed a scrotal haematoma that was managed conservatively. The procedure was successful in 56/57 PUDT (98%). An auxiliary procedure was needed in one case, to obtain more length of the cord by extension of the incision to the external ring.
Conclusion:
HSSIO is a safe and feasible technique, with many benefits, and as such should be considered as the standard technique for orchidopexy in infants aged 6-24 months.
