Single incision Trans Scrotal versus Standard Inguino-Scrotal Orchidopexy in Children with Palpable Undescended Testis:

Objective: To compare the efficacy and complications of single incision trans scrotal versus standard inguinal orchidopexy in children with palpable undescended testes. Methodology: This randomized controlled trial was conducted at the Paediatric Surgery Department Bahawal Victoria Hospital Bahawalpur from April 2007 to April 2010. Children aged 9 months to 12 years, diagnosed as cases of palpable undescended testes were randomized into two groups. In group A orchidopexy was performed through single scrotal incision and in group B by standard two incision inguinal approach. The groups were compared for operative time, hospital stay, scrotal hematoma, wound infection, and secondary ascent. Results: Each group had 134 cases. Mean operative time and hospital stay in group A and B were 28.32±0.92 minutes and 47.83±0.76 minutes (p value 0.0001) and 1.027±0.205 days and 3.023±0.203 days (p value 0.0001) respectively. There was no significant difference in the formation of scrotal haematoma, wound infection and secondary ascent of testis between the two groups. The conversion rate of surgery in group A was 7.46%. Conclusion: Trans scrotal orchidopexy is the simple, effective and less invasive technique as compared to the standard two incision inguinal approach.