Herrera-García WE, Cuevas-Alpuche JO, Olivera-Vázquez JL, Aguilar-Anzures R, Granados- Navas F

Language: Spanish
References: 11
Page: 89-93
PDF size: 105.34 Kb.

ABSTRACT

Introduction: Inguinal orchidopexy is the most common treatment for cryptorchism. We describe a modifi cation of Bianchi’s transcrotal technique in a group of patients with criptorchism.
Material and Methods: Retrospective, descriptive, observational study of 52 children with inguinal cryptorchism treated with parascrotal approach. Size, situation and testicular irrigation by Doppler ultrasound were evaluated.
Results: Testicular reduction was possible in 50 cases (96%) with no harm of variation in irrigation or testicular volume. In two cases (4%) this was not possible and an inguinal approach was necessary.
Discussion: Our results are similar to those reported by Bianchi, since most of our patients (96%) had good results with this modifi cation. However, it is necessary to do a clinical controlled assay comparing results of both techniques in order to assess the advantages of our modifi cation.

REFERENCES

1. Hutson JM, Clarke MCC. Current management of the undescended testicle. Seminars in Pediatric Surgery.2007;16: 64-70.

2. Schneck FX, Bellinger MF. Urología de Campbell, 8a edición. Anormalidades de los Testículos, el Escroto y su Manejo Quirúrgico. Ed. Médica Panamericana S.A.; 2005. p. 2561-607.

3. Russinko PJ, Siddiq FM, Tackett LD, et al. Prescrotal orchidopexy: an alternative surgical approach for the palpable undescended testis. J Urol 2003;170:2436–8.

4. Majid Al M, Antoine EK, Yaser El-H, Michael K, y cols. Potential complications with the prescrotal approach for the palpable undescended testis. A comparison of single prescrotal incision to the traditional inguinal approach. J Urol 2008;180:686-9.

5. Caruso AP, Walsh RA, Wolach JW, et al. Single scrotal incision orchidopexy for the palpable undescended testicle. J Urol 2000;164:156–9.

6. Bianchi A, Squire BR. Transscrotal orchidopexy: orchidopexy revised. Pediatr Surg Int 1989;4:189–92.

7. Murat D, Yusuf K, Lutfu T y cols. Scrotal incisión orchidopexy for undescended testis. Urology 2004;64:1216–19.

8. Rakesh H, Ravi K, Manmohan H y cols. Single scrotal incision orchidopexy for palpable undescended testis. Asian J Surg 2006:29(1):25-7.

9. Russinko PJ, Siddiq FM, Tackett LD, et al. Prescrotal orchidopexy: an alternative surgical approach for the palpable undescended testis. J Urol 2003;170:2436–8.

10. Jawad AJ. High scrotal orchidopexy for palpable maldescended testes. Br J Urol 1997;80:331–3.

11. Lais A, Ferro F. Trans-scrotal approach for surgical correction of cryptorchidism and congenital anomalies of the processus vaginalis. Eur Urol 1996;29:235.