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International Braz J Urol : Official... 2013To conduct a systematic review on single scrotal incision orchiopexy. (Review)
Review
OBJECTIVE
To conduct a systematic review on single scrotal incision orchiopexy.
MATERIALS AND METHODS
A search was performed using Pubmed, through which 16 articles were selected out of a total of 133. The following conditions were considered exclusion criteria: other surgical methods such as an inguinal procedure or a laparoscopic approach, retractile testes, or patients with previous testicular or inguinal surgery.
RESULTS
A total of 1558 orchiopexy surgeries initiated with a transcrotal incision were analyzed. Patients' ages ranged between 5 months and 21 years. Thirteen studies used high scrotal incisions, and low scrotal incisions were performed in the remainder of the studies. In 55 cases (3.53%), there was a need for inguinal incision. Recurrence was observed in 9 cases, testicular atrophy in 3, testicular hypotrophy in 2, and surgical site infections in 13 cases. High efficacy rates were observed, varying between 88% and 100%.
CONCLUSIONS
Single scrotal incision orchiopexy proved to be an effective technique and is associated with low rates of complications.
Topics: Adolescent; Child; Child, Preschool; Cryptorchidism; Humans; Infant; Male; Orchiopexy; Recurrence; Scrotum; Treatment Outcome; Young Adult
PubMed: 23849581
DOI: 10.1590/S1677-5538.IBJU.2013.03.02