One-stage transcrotal orchidopexy in bilateral inguinal cryptorchidism in children

BACKGROUND: The frequency of cryptorchidism varies and depends on gestational age, affecting 1.04.6% full-term 1.145% preterm newborns. Treatment this defect is currently surgical. Orchiopexy one the frequent surgical aids in practice a pediatric surgeon urologist. need for bilateral inguinal to perform several incisions or separate operations each side by time forces surgeons continue searching optimal way correct cryptorchidism.
 AIM: To determine possibilities fixation both testicles with physiological position scrotum through single approach fewer complications improved cosmetic result comparison previously proposed methods.
 MATERIALS AND METHODS: From 2012 2021, we treated 92 male children cryptorchidism. All boys underwent developed method single-stage transcrotal orchiopexy, accompanied, if necessary, laparoscopic assistance using single-acar access.
 RESULTS: results treatment (184 gonads) clinics are presented. Thanks improvement technology orchiopexy form cases that do not allow testicle be freely lowered into scrotum, number associated access, such as pronounced postoperative edema inflammation wound area, decreased 1.62% cases, there were no relapses disease persistent hernias.
 CONCLUSIONS: article describes new statistically substantiates its use cryptorchidism, which allows fixing at any region methods.