Trans-scrotal Incision Approach versus Traditional Trans-scrotal Incision Orchiopexy in Children with Cryptorchidism: A Randomized Trial Study

Background: Although undescended testis (UDT) is the most prevalent malformation in male neonates, the best mode of UDT treatment remains controversial. This study aimed to compare trans-scrotal incision approach with traditional trans-scrotal incision orchiopexy in children suffering from cryptorch...

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Main Authors: Masoud Nazem, Mehrdad Hosseinpour, Abdulhakim Alghazali
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Advanced Biomedical Research
Subjects:
Online Access:http://www.advbiores.net/article.asp?issn=2277-9175;year=2019;volume=8;issue=1;spage=34;epage=34;aulast=Nazem
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author Masoud Nazem
Mehrdad Hosseinpour
Abdulhakim Alghazali
author_facet Masoud Nazem
Mehrdad Hosseinpour
Abdulhakim Alghazali
author_sort Masoud Nazem
collection DOAJ
description Background: Although undescended testis (UDT) is the most prevalent malformation in male neonates, the best mode of UDT treatment remains controversial. This study aimed to compare trans-scrotal incision approach with traditional trans-scrotal incision orchiopexy in children suffering from cryptorchidism. Materials and Methods: This single-blind randomized clinical trial was done on 100 children with UDT who needed surgery. The participants were alternately undergoing trans-scrotal incision orchiopexy (Group I) and traditional inguinal incision orchiopexy (Group II). The success rate and incidence of postoperative complications were evaluated 1 week and 1 month and 6 months after the operation in the two groups. Results: Both the groups were similar in baseline characteristics including age and laterality (P > 0.05). There was no significant difference between the two groups in terms of the incidence of wound infection, testicular atrophy, testicular hypotrophy, and relapse (P > 0.05). In addition, the success rates were 98% in Group I and 94% in Group II (P > 0.05). Conclusion: Both surgical methods have a high success rate, and there is no significant difference in the incidence of complications; however, in terms of beauty, satisfaction, and shortening the duration of surgery and the duration of hospitalization, trans-scrotal approach was more successful than the traditional method.
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spelling doaj.art-9878357dc0134ded9d4aeca162a2fdfb2022-12-21T22:17:06ZengWolters Kluwer Medknow PublicationsAdvanced Biomedical Research2277-91752019-01-0181343410.4103/abr.abr_26_19Trans-scrotal Incision Approach versus Traditional Trans-scrotal Incision Orchiopexy in Children with Cryptorchidism: A Randomized Trial StudyMasoud NazemMehrdad HosseinpourAbdulhakim AlghazaliBackground: Although undescended testis (UDT) is the most prevalent malformation in male neonates, the best mode of UDT treatment remains controversial. This study aimed to compare trans-scrotal incision approach with traditional trans-scrotal incision orchiopexy in children suffering from cryptorchidism. Materials and Methods: This single-blind randomized clinical trial was done on 100 children with UDT who needed surgery. The participants were alternately undergoing trans-scrotal incision orchiopexy (Group I) and traditional inguinal incision orchiopexy (Group II). The success rate and incidence of postoperative complications were evaluated 1 week and 1 month and 6 months after the operation in the two groups. Results: Both the groups were similar in baseline characteristics including age and laterality (P > 0.05). There was no significant difference between the two groups in terms of the incidence of wound infection, testicular atrophy, testicular hypotrophy, and relapse (P > 0.05). In addition, the success rates were 98% in Group I and 94% in Group II (P > 0.05). Conclusion: Both surgical methods have a high success rate, and there is no significant difference in the incidence of complications; however, in terms of beauty, satisfaction, and shortening the duration of surgery and the duration of hospitalization, trans-scrotal approach was more successful than the traditional method.http://www.advbiores.net/article.asp?issn=2277-9175;year=2019;volume=8;issue=1;spage=34;epage=34;aulast=NazemCryptorchidismorchiopexytraditional trans-scrotal incisiontrans-scrotal incision
spellingShingle Masoud Nazem
Mehrdad Hosseinpour
Abdulhakim Alghazali
Trans-scrotal Incision Approach versus Traditional Trans-scrotal Incision Orchiopexy in Children with Cryptorchidism: A Randomized Trial Study
Advanced Biomedical Research
Cryptorchidism
orchiopexy
traditional trans-scrotal incision
trans-scrotal incision
title Trans-scrotal Incision Approach versus Traditional Trans-scrotal Incision Orchiopexy in Children with Cryptorchidism: A Randomized Trial Study
title_full Trans-scrotal Incision Approach versus Traditional Trans-scrotal Incision Orchiopexy in Children with Cryptorchidism: A Randomized Trial Study
title_fullStr Trans-scrotal Incision Approach versus Traditional Trans-scrotal Incision Orchiopexy in Children with Cryptorchidism: A Randomized Trial Study
title_full_unstemmed Trans-scrotal Incision Approach versus Traditional Trans-scrotal Incision Orchiopexy in Children with Cryptorchidism: A Randomized Trial Study
title_short Trans-scrotal Incision Approach versus Traditional Trans-scrotal Incision Orchiopexy in Children with Cryptorchidism: A Randomized Trial Study
title_sort trans scrotal incision approach versus traditional trans scrotal incision orchiopexy in children with cryptorchidism a randomized trial study
topic Cryptorchidism
orchiopexy
traditional trans-scrotal incision
trans-scrotal incision
url http://www.advbiores.net/article.asp?issn=2277-9175;year=2019;volume=8;issue=1;spage=34;epage=34;aulast=Nazem
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AT mehrdadhosseinpour transscrotalincisionapproachversustraditionaltransscrotalincisionorchiopexyinchildrenwithcryptorchidismarandomizedtrialstudy
AT abdulhakimalghazali transscrotalincisionapproachversustraditionaltransscrotalincisionorchiopexyinchildrenwithcryptorchidismarandomizedtrialstudy