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Single scrotal incision orchiopexy versus the inguinal approach in children with palpable undescended testis: a systematic review and meta-analysis

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Abstract

Purpose

We performed a systematic review and meta-analysis to compare the efficacy and safety between single-incision, transscrotal orchidopexy, and the traditional inguinal orchidopexy in children.

Methods

A systematic search of the electronic databases was conducted to identify studies compared the transscrotal orchidopexy (SO) and inguinal orchidopexy (IO) for children. Parameters, such as operative time, the incidence of patent processus vaginalis, and postoperative complications, including wound infection, testicular atrophy, testicular reascent, hernia, or hydrocele, were pooled and compared by meta-analysis.

Results

Among the 1376 children with palpable undescended testes (UDTs) included in the eight studies, 697 had received SO and 679 IO. There were shorter operative times with the SO approach compared with IO. However, no significant difference was found between SO and IO in the incidence of patent processus vaginalis and postoperative complications, including wound infection, testicular atrophy, testicular reascent, and hernia.

Conclusion

SO is a safe and effective surgical approach alternative to IO for pediatric UDTs. Compared with IO, SO has the advantage of shorter operative times. Besides, the incidence of postoperative wound infection may be slightly lower in SO. We suggest that SO should be considered as an acceptable option for children with UDTs.

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Acknowledgments

The manuscript had been proofread by Mr.Zhiqiang Zhong, Department of Rheumatology and Immunology, Peking Union Medical College Hospital, Beijing, China.

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Authors and Affiliations

  1. Department of Pediatric Surgery, Hangzhou Children’s Hospital, No. 195 Wenhui Rd, Xiacheng district, Hangzhou, 310015, China

    Shaoguang Feng, Huajun Yang, Xiang Li, Junjia Yang, Jie Zhang, Aihe Wang & Yuhui Qiu

  2. Institute of Inflammation and Diseases, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China

    Xin-He Lai

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  1. Shaoguang Feng
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  2. Huajun Yang
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  3. Xiang Li
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  4. Junjia Yang
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  5. Jie Zhang
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  6. Aihe Wang
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  7. Xin-He Lai
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  8. Yuhui Qiu
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Correspondence to Yuhui Qiu.

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Feng, S., Yang, H., Li, X. et al. Single scrotal incision orchiopexy versus the inguinal approach in children with palpable undescended testis: a systematic review and meta-analysis. Pediatr Surg Int 32, 989–995 (2016). https://doi.org/10.1007/s00383-016-3956-4

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  • DOI: https://doi.org/10.1007/s00383-016-3956-4

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