KẾT QUẢ PHẪU THUẬT HẠ TINH HOÀN ĐƯỜNG BÌU Ở BỆNH NHÂN ẨN TINH HOÀN SỜ THẤY TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Background: Cryptorchidism is a common congenital anomaly in male children. Surgery is the primary treatment and the inguinal procedure, which requires two incisions: inguinal and scrotal incisions, is considered as standard surgery for this disease. Scrotal incision orchidopexy is a less invasive approach that is widely performed and proven to be effective, safe and aesthetic for palpable undescended testis. Objective: To describe the surgical outcomes of scrotal incision orchidopexy for palpable undescended testis at Viet Duc University Hospital. Methods: A retrospective study was conducted on 116 patients who underwent scrotal incision orchidopexy at Pediatric and Neonatal surgery department, Viet Duc University Hospital, from January 2022 to December 2023. Results: The average age of patients at surgery was 48.9±10.7 months (7-160). The rate of unilateral undescended testicles is 65.5%. Cryptorchidism located outside the inguinal canal rate is 76.9%. The average preoperative size of undescended testicles was 225.2±112mm3. The average operative time was 19.7±3.5 minutes, 97.4% of the testicles were brought to the bottom of the scrotum, and the average hospital stay was 0.8 days. The operative complication rate is low 1.7% with 2 mild complications: Swollen scrotum treated medically. There was no inguinal hernia or testicular post-operation. The aesthetic satisfaction rate of surgical scars is 99.2%. Conclusion: Scrotal orchidopexy is a safe and effective surgical approach for palpable undescended testis.