A Novel Technique of Circumcision Incision Orchidopexy

St. Luke's Medical Center, Philippines

Status: Completed

Conditions: Cryptorchidism; Undescended Testis

Treatments: Procedure: Novel technique Circumcision Incision Orchidopexy

Study type: Observational

Funder types: Other

Identifiers

NCT02249637

SLMC_2014(SLIU1)

Details and patient eligibility

About

Given that both circumcision and orchidopexy are commonly done in a single setting, the investigators adopted the technique of orchidopexy via circumcision incision, particularly for palpable low inguinal cryptorchidism. In this paper, the investigators aim to present a novel technique and discuss our preliminary outcome of such procedure compared to the traditional inguinal-scrotal double incision technique. Specifically, the investigators aimed to determine the differences in operative time, testicular size changes, peri-operative complications, pain score and parent's satisfaction of both novel technique and conventional orchidopexy.

Full description

Cryptorchidism is the most common disorder of the male endocrine gland in children.. 1 According to the latest guideline by European Association of Urology in the Pediatric Urology for the treatment of cryptorchidism, both inguinal and scrotal approaches orchidopexy are accepted standard treatment options. 2 In the local setting, circumcision is another common surgical procedure among the children, particularly under the same instance of anesthesia for other procedure. Not only due to religious and sociocultural reasons, male circumcision has been recently considered having a protective effect against acquisition of various sexually transmitted infections (STIs). 3 This benefit is one of many that have led to many affirmative evidence-based policy statements by medical bodies in support of the procedure.

Given that both procedures are commonly done in a single setting, we adopted the technique of orchidopexy via circumcision incision, particularly for palpable low inguinal cryptorchidism. In this paper, we aim to present a novel technique and discuss our preliminary outcome of such procedure compared to the traditional inguinal-scrotal double incision technique. Specifically, we aimed to determine the differences in operative time, testicular size changes, peri-operative complications, pain score and parent's satisfaction of both novel technique and conventional orchidopexy.

Enrollment: 14 patients

Sex: Male

Ages: 3 months to 10 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Children diagnosed with palpable cryptorchidism with pre-operative inguino-scrotal ultrasound to confirm the location of the testis on the low inguinal canal and its viability.

Exclusion criteria

• Excluded were non-palpable testis, with prior orchidopexy, circumcised, with other concomitant genital anomalies.

Trial design

14 participants in 2 patient groups

Inguinal Orchidopexy

Description:

Patients with diagnosed palpable low inguinal cryptorchidism underwent inguinal approach as originally described by Schuller and Bevan.

Novel Technique (Circumcision incision)

Description:

Patients with diagnosed palpable low inguinal cryptorchidism underwent novel technique- circumcision incision orchidopexy.

Treatment:

Procedure: Novel technique Circumcision Incision Orchidopexy