Single High Trans-Scrotal Incision Orchiopexy for Unilateral Palpable Undescended Testis: Experience in Dhaka Shishu Hospital

Md. Ayub Ali1, Hafiza Sultana2, Md. Abdul Aziz3, Swapan Kumar Paul4,
Md. Hasanuzzaman5, Ipsita Biswas6

Background: Palpable undescended testis (PUT) represents a common pediatric
problem in many premature and some mature infants. There are several surgical
techniques to correct PUT either through combined inguinal and scrotal incision or
single transverse scrotal incision. This study assessed single high transverse scrotal
incision for the management of PUT as regards to feasibility, postoperative success
and final cosmetic result.
Objective: The aim of our study was to evaluate our modified extra dartos pouch
technique in retaining testis in the scrotum.
Methodology: This prospective observational study was carried out in the division
of paediatric surgery, Dhaka Shishu (Children) Hospital. A total of 90 male children
with unilateral palpable undescended testes were included in the study from January
2014 to July 2016. They were randomly assigned for whom the extra dartos pouch
technique was applied.
Results: The operation time was significantly shorter 35.26 5.153 minutes (p<0.05).
Wound infection was found in 2 patients and inguinal congestion was found in 11
patients respectively. There was no statistical significant difference in developing
wound infection and inguinal congestion . None of the patients developed scrotal
hematoma, testicular atrophy and testicular re-ascent.
Conclusion: Single high trans-scrotal incision orchiopexy technique is a simple
procedure. It is associated with one wound closure with less tissue dissection, good
wound healing, cosmatic and a shorter operation time than the classical inguinal
orchiopexy technique for unilateral palpable undescended testis.
Key Words: Undescended Testis, Trans-scrotal Incision, Orchiopexy.


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