Single scrotal incision orchiopexy (Bianchi technique) for medium and low undescended testicle

Abstract

Objective To evaluate prospectively the scrotal incision orchiopexy (Bianchi technique) for patients with an undescended testis in the mid or distal inguinal canal or beyond the external inguinal ring. Methods A total of 67 orchiopexies were performed in 58 patients with a primary undescended testis. Scrotal incision orchiopexy (Bianchi technique) were performed in 28 patients and the traditional orchiopexy were performed in 30 patients. Results Bianchi technique required shorter operative time than the traditional orchiopexy. At 7-month follow up,both groups had the same outcomes. No hernias were identified. Conclusions A scrotal incision for a palpable primary testis is well tolerated, Prescrotal orchiopexy is a successful procedure in select patients with a low complication rate. It has the advantage of a single incision which is cosmetically pleasing. It requires shorter operative time. Key words: Cryptorchidism; Orchidopexy; Complications