Dayanç Murat, Kibar Yusuf, Tahmaz Lütfü, Yildirim Ibrahim, Peker A Fuat
Department of Urology, Gülhane Military Medical Academy, Ankara, Turkey.
Urology. 2004 Dec;64(6):1216-8; discussion 1219. doi: 10.1016/j.urology.2004.06.069.
To evaluate prospectively the success of scrotal incision orchiopexy (Bianchi technique) with or without inguinal hernia in patients with an undescended testis within the inguinal canal or beyond the external inguinal ring.
A total of 72 orchiopexies were performed in 56 patients with a primary undescended testis. The testicular position and size were assessed again at 1 year of follow-up.
A total of 56 patients had bilateral (n = 14), right (n = 26), and left (n = 18) primary undescended testes. Scrotal orchiopexy was attempted in 72 testes and was successful in 68; the remaining 4 patients required conversion to traditional inguinal orchiopexy because of inadequate mobilization. In 34 children (43 testes), the testis was distal to the external inguinal ring (group 1). Scrotal orchiopexy was performed successfully in 42 testes in this group, and only 1 patient required conversion to a traditional inguinal incision. The average operating time was 18 minutes. In 22 children (29 testes), the testis was located within the inguinal canal (group 2); 3 cases required conversion to traditional inguinal orchiopexy. The average operative time was 25 minutes in group 2. All patients had satisfactory scrotal placement with at least one follow-up examination.
A scrotal incision for a palpable primary testis is well tolerated, cosmetically pleasing, and associated with a short operative time.
前瞻性评估阴囊切口睾丸固定术（比安基技术）在腹股沟管内或腹股沟外环外睾丸未降患者中，无论有无腹股沟疝的手术成功率。
对56例原发性睾丸未降患者共进行了72次睾丸固定术。在随访1年时再次评估睾丸位置和大小。
56例患者中，双侧睾丸未降者14例，右侧26例，左侧18例。对72个睾丸尝试进行阴囊睾丸固定术，68例成功；其余4例因游离不充分需改为传统腹股沟睾丸固定术。34例儿童（43个睾丸），睾丸位于腹股沟外环远端（第1组）。该组42个睾丸阴囊睾丸固定术成功，仅1例患者需改为传统腹股沟切口。平均手术时间为18分钟。22例儿童（29个睾丸），睾丸位于腹股沟管内（第2组）；3例需改为传统腹股沟睾丸固定术。第2组平均手术时间为25分钟。所有患者经至少一次随访检查，睾丸在阴囊内的位置均令人满意。
对于可触及的原发性睾丸，阴囊切口耐受性良好，美观，且手术时间短。
