Abstract
Objectives: Surgery of the inguinal canal is the most common practice in pediatric urology. Recently, the trans-scrotal approach has been described for orchidopexy of palpable undescended testes. The aim of this paper is to report our experience with this technique, emphasizing both the advantages and the disadvantages with respect to the usual approach. Methods: Over a period of 2 years, we used the trans-scrotal approach in 85 children with cryptorchidism, hydrocele and inguinal hernia. The scrotal incision was combined vertical and horizontal. Results: All children with hernia and hydrocele were cured without complications. Among the cryptorchids, 3 children required an additional groin incision to complete the procedure, 3 experienced postoperative hematoma, 2 had mild testicular hypotrophy, and 1 recurrent cryptorchidism at follow-up. Conclusion: Most palpable undescended testes can be successfully treated by this operation. However, the dissection of the processus vaginalis from the cord below the external ring is time-consuming, requires more skill, and exposes to more complications. Conversely, the results are excellent in hydroceles.
| Original language | English |
|---|---|
| Pages (from-to) | 235-239 |
| Number of pages | 5 |
| Journal | European Urology |
| Volume | 29 |
| Issue number | 2 |
| Publication status | Published - 1996 |
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Keywords
- Cryptorchidism
- Hydrocele
- Orchidopexy
- Scrotum
ASJC Scopus subject areas
- Urology
Cite this
Trans-scrotal approach for surgical correction of cryptorchidism and congenital anomalies of the processus vaginalis. / Lais, A.; Ferro, F.
In: European Urology, Vol. 29, No. 2, 1996, p. 235-239.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Trans-scrotal approach for surgical correction of cryptorchidism and congenital anomalies of the processus vaginalis
AU - Lais, A.
AU - Ferro, F.
PY - 1996
Y1 - 1996
N2 - Objectives: Surgery of the inguinal canal is the most common practice in pediatric urology. Recently, the trans-scrotal approach has been described for orchidopexy of palpable undescended testes. The aim of this paper is to report our experience with this technique, emphasizing both the advantages and the disadvantages with respect to the usual approach. Methods: Over a period of 2 years, we used the trans-scrotal approach in 85 children with cryptorchidism, hydrocele and inguinal hernia. The scrotal incision was combined vertical and horizontal. Results: All children with hernia and hydrocele were cured without complications. Among the cryptorchids, 3 children required an additional groin incision to complete the procedure, 3 experienced postoperative hematoma, 2 had mild testicular hypotrophy, and 1 recurrent cryptorchidism at follow-up. Conclusion: Most palpable undescended testes can be successfully treated by this operation. However, the dissection of the processus vaginalis from the cord below the external ring is time-consuming, requires more skill, and exposes to more complications. Conversely, the results are excellent in hydroceles.
AB - Objectives: Surgery of the inguinal canal is the most common practice in pediatric urology. Recently, the trans-scrotal approach has been described for orchidopexy of palpable undescended testes. The aim of this paper is to report our experience with this technique, emphasizing both the advantages and the disadvantages with respect to the usual approach. Methods: Over a period of 2 years, we used the trans-scrotal approach in 85 children with cryptorchidism, hydrocele and inguinal hernia. The scrotal incision was combined vertical and horizontal. Results: All children with hernia and hydrocele were cured without complications. Among the cryptorchids, 3 children required an additional groin incision to complete the procedure, 3 experienced postoperative hematoma, 2 had mild testicular hypotrophy, and 1 recurrent cryptorchidism at follow-up. Conclusion: Most palpable undescended testes can be successfully treated by this operation. However, the dissection of the processus vaginalis from the cord below the external ring is time-consuming, requires more skill, and exposes to more complications. Conversely, the results are excellent in hydroceles.
KW - Cryptorchidism
KW - Hydrocele
KW - Orchidopexy
KW - Scrotum
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M3 - Article
VL - 29
SP - 235
EP - 239
JO - European Urology
JF - European Urology
SN - 0302-2838
IS - 2
ER -