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Int. braz. j. urol ; 39(3): 305-311, May/June/2013. tab, graf
Artigo em Inglês | LILACS | ID: lil-680092

RESUMO

Objective To conduct a systematic review on single scrotal incision orchiopexy. Materials and Methods: A search was performed using Pubmed, through which 16 articles were selected out of a total of 133. The following conditions were considered exclusion criteria: other surgical methods such as an inguinal procedure or a laparoscopic approach, retractile testes, or patients with previous testicular or inguinal surgery. Results A total of 1558 orchiopexy surgeries initiated with a transcrotal incision were analyzed. Patients' ages ranged between 5 months and 21 years. Thirteen studies used high scrotal incisions, and low scrotal incisions were performed in the remainder of the studies. In 55 cases (3.53%), there was a need for inguinal incision. Recurrence was observed in 9 cases, testicular atrophy in 3, testicular hypotrophy in 2, and surgical site infections in 13 cases. High efficacy rates were observed, varying between 88% and 100%. Conclusions Single scrotal incision orchiopexy proved to be an effective technique and is associated with low rates of complications. .


Assuntos
Adolescente , Criança , Pré-Escolar , Humanos , Lactente , Masculino , Adulto Jovem , Criptorquidismo/cirurgia , Orquidopexia/métodos , Escroto/cirurgia , Recidiva , Resultado do Tratamento
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