Mohey Ahmed, Gharib Tarek M, Omar Rabea G, Sebaey Ahmed, Elmohamady Basheer N, Kandeel Wael
Department of Urology, Benha University Hospital, Faculty of Medicine, Benha University, Benha, Egypt.
Arab J Urol. 2017 Feb 8;15(1):78-81. doi: 10.1016/j.aju.2016.11.007. eCollection 2017 Mar.
To prospectively investigate the effectiveness of high single scrotal-incision orchidopexy (HSSIO) for palpable undescended testis (PUDT) in infants aged 6-24 months.
From March 2012 to July 2014, 46 age range-restricted (6-24 months) infants with 57 PUDT underwent HSSIO after obtaining written consent from their parents. The exclusion criteria were ectopic, retractile testes and recurrent cases. All infants were examined before surgery in the outpatient department and after anaesthesia induction immediately before surgery. All infants had general anaesthesia with a caudal block. The operative time, intraoperative and postoperative complications, and follow-up of the infants at 0.5, 3 and 6 months were recorded and analysed.
The mean (SD; range) operative time was 23.45 (3.28; 18-29) min. A hernia sac was found in 39 (68.4%) UDTs. For postoperative complications, only one infant developed a scrotal haematoma that was managed conservatively. The procedure was successful in 56/57 PUDT (98%). An auxiliary procedure was needed in one case, to obtain more length of the cord by extension of the incision to the external ring.
HSSIO is a safe and feasible technique, with many benefits, and as such should be considered as the standard technique for orchidopexy in infants aged 6-24 months.
前瞻性研究高位单阴囊切口睾丸固定术（HSSIO）治疗6 - 24个月可触及隐睾（PUDT）婴儿的有效性。
2012年3月至2014年7月，46例年龄受限（6 - 24个月）的婴儿，共57个可触及隐睾，在获得其父母书面同意后接受了高位单阴囊切口睾丸固定术。排除标准为异位睾丸、回缩睾丸及复发病例。所有婴儿在门诊手术前及手术前麻醉诱导后均进行了检查。所有婴儿均采用骶管阻滞全身麻醉。记录并分析手术时间、术中及术后并发症，以及婴儿在0.5、3和6个月时的随访情况。
平均（标准差；范围）手术时间为23.45（3.28；18 - 29）分钟。39个（68.4%）隐睾发现有疝囊。术后并发症方面，仅1例婴儿出现阴囊血肿，经保守治疗。56/57个可触及隐睾（98%）手术成功。1例需要辅助手术，通过将切口延伸至外环以获得更多精索长度。
高位单阴囊切口睾丸固定术是一种安全可行的技术，有诸多优点，因此应被视为6 - 24个月婴儿睾丸固定术的标准技术。
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