Zouari Mohamed, Dhaou Mahdi Ben, Jallouli Mohamed, Mhiri Riadh
Department of Paediatric Surgery, Hedi Chaker Hospital, Sfax, Tunisia.
Arab J Urol. 2015 Jun;13(2):112-5. doi: 10.1016/j.aju.2014.11.003. Epub 2014 Dec 8.
To evaluate the single scrotal-incision orchidopexy (SSIO) technique in patients with an undescended testis palpable in the inguinal canal or below the external inguinal ring.
Between January 2011 and December 2013 we performed 100 SSIOs in 89 patients. The mean (range) follow-up was 9 (3-36) months.
In 88 testes the SSIO was performed with no difficulties. In four patients an additional dissection by opening the external ring and canal was necessary; none of these patients developed an inguinal hernia after surgery. In eight patients conversion to an inguinal approach was necessary because of difficulty in controlling the hernial sacs and inadequate mobilisation. At the follow-up assessment, of the 89 patients, none developed testicular atrophy, one (1%) had wound dehiscence and four (5%) had a scrotal haematoma. There was no statistically significant difference between the testicular size at baseline and that during the follow-up. At 3 months after surgery the overall cosmetic result was excellent.
The SSIO is minimal-access surgery allowing less dissection, less discomfort for the patient, rapid healing, excellent cosmetic results and a good success rate. This technique is safe and effective for undescended testes palpable in the inguinal canal or below the external inguinal ring.
评估单阴囊切口睾丸下降固定术（SSIO）用于治疗腹股沟管或腹股沟外环以下可触及的隐睾患者的效果。
2011年1月至2013年12月期间，我们对89例患者实施了100例单阴囊切口睾丸下降固定术。平均（范围）随访时间为9（3 - 36）个月。
88个睾丸的单阴囊切口睾丸下降固定术实施过程无困难。4例患者需要通过打开外环和腹股沟管进行额外的解剖；这些患者术后均未发生腹股沟疝。8例患者因控制疝囊困难和游离不充分而需要转为腹股沟入路。在随访评估中，89例患者均未发生睾丸萎缩，1例（1%）出现伤口裂开，4例（5%）出现阴囊血肿。基线时睾丸大小与随访期间的睾丸大小之间无统计学显著差异。术后3个月时，总体美容效果极佳。
单阴囊切口睾丸下降固定术是一种微创手术，可减少解剖操作、减轻患者不适、促进快速愈合、获得极佳的美容效果且成功率高。该技术对于腹股沟管或腹股沟外环以下可触及的隐睾是安全有效的。
