Comparison of Outcomes of Scrotal and Inguinal Incision Orchiopexy for Undescended Testis

Abstract

Introduction: The aim of this study was to compare the results of treating undescended testis with conventional inguinal orchiopexy or by scrotal orchiopexy (in selected cases with undescended testis that can be rubbed up to the top of scrotum in their examination under general anesthesia). Materials and Methods: Physical examination files of 66 palpable undescended testes patients performed by two pediatric surgeons at a 5th level hospital in Kenya/Kiambu within the scope of the program (29/09/2018-07/10/2018) were retrospectively reviewed. Result: There was a statistically significant difference between the groups in terms of surgery time (p = 0.001). In both groups, there was no recurrence, testicular atrophy, and hernia or hydrocele formation complications. Scrotal hematoma was observed in one patient in each group. Conclusion: Scrotal orchiopexy is a comfortable method that can be preferred in children because it requires less dissection, shorter operative time, no need analgesia, a single scrotal incision, and the fact that inguinal canal is not opened.