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Abstract

Volume 22, Issue 6 (November 2020) 22, 649–652; 10.4103/aja.aja_24_20

Testicular descent and fixation through a scrotal stria incision for the treatment of palpable cryptorchidism in children aged <3 years: 10-year experience with 1034 cases

Liu Chen, Wen-Hua Huang, Yun-Jin Wang, Qi-Liang Zhang, Chao-Ming Zhou, Xu Cui, Jian-Qin Zhang

Department of Pediatric Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou 350001, China

Correspondence: Dr. CM Zhou (sfyzhouchaoming@163.com)

Date of Submission 10-Oct-2019 Date of Acceptance 25-Mar-2020 Date of Web Publication 12-Jun-2020

Abstract

This study was performed to summarize our clinical experience with testicular descent and fixation through a scrotal stria incision for the treatment of palpable cryptorchidism in children. This study included 1034 children with palpable cryptorchidism from March 2009 to March 2019. A scrotal stria incision was used to perform testicular descent and fixation. Overall, 1020 children successfully underwent surgical testicular descent and fixation through a scrotal stria incision, and 14 patients underwent conversion to inguinal incision surgery. All patients were discharged 1–2 days after the operation. During hospitalization and follow-up, 55 patients developed complications, including 10 patients with testicular retraction, 7 with poor healing of the incision, and 38 with a scrotal hematoma. No patients developed testicular atrophy, an indirect inguinal hernia, or a hydrocoele. Testicular descent and fixation through a scrotal stria incision for the treatment of palpable cryptorchidism in children is safe and feasible in well-selected cases. This method has the advantages of no scarring and a good cosmetic effect.

Keywords: children; cosmetic effect; palpable cryptorchidism; scrotal stria incision; testicular descending fixation

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