Frontiers in Pediatrics (Mar 2022)
Comparison of Single-Incision Scrotal Orchiopexy and Traditional Two-Incision Inguinal Orchiopexy for Primary Palpable Undescended Testis in Children: A Systematic Review and Meta-Analysis
- Chengjun Yu,
- Chengjun Yu,
- Chengjun Yu,
- Chengjun Yu,
- Yang Hu,
- Yang Hu,
- Yang Hu,
- Ling Wang,
- Ling Wang,
- Ling Wang,
- Lian Kang,
- Lian Kang,
- Lian Kang,
- Lian Kang,
- Jie Zhao,
- Jie Zhao,
- Jie Zhao,
- Jiandong Lu,
- Jiandong Lu,
- Jiandong Lu,
- Tao Lin,
- Tao Lin,
- Tao Lin,
- Tao Lin,
- Tao Lin,
- Dawei He,
- Dawei He,
- Dawei He,
- Dawei He,
- Dawei He,
- Dawei He,
- Shengde Wu,
- Shengde Wu,
- Shengde Wu,
- Shengde Wu,
- Shengde Wu,
- Shengde Wu,
- Guanghui Wei,
- Guanghui Wei,
- Guanghui Wei,
- Guanghui Wei,
- Guanghui Wei,
- Guanghui Wei
Affiliations
- Chengjun Yu
- Department of Urology, Children's Hospital of Chongqing Medical University, Chongqing, China
- Chengjun Yu
- National Clinical Research Center for Child Health and Disorders, Chongqing, China
- Chengjun Yu
- Chongqing Key Laboratory of Children Urogenital Development and Tissue Engineering, Chongqing, China
- Chengjun Yu
- Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China
- Yang Hu
- Department of Urology, Children's Hospital of Chongqing Medical University, Chongqing, China
- Yang Hu
- National Clinical Research Center for Child Health and Disorders, Chongqing, China
- Yang Hu
- Chongqing Key Laboratory of Children Urogenital Development and Tissue Engineering, Chongqing, China
- Ling Wang
- Department of Urology, Children's Hospital of Chongqing Medical University, Chongqing, China
- Ling Wang
- National Clinical Research Center for Child Health and Disorders, Chongqing, China
- Ling Wang
- Chongqing Key Laboratory of Children Urogenital Development and Tissue Engineering, Chongqing, China
- Lian Kang
- Department of Urology, Children's Hospital of Chongqing Medical University, Chongqing, China
- Lian Kang
- National Clinical Research Center for Child Health and Disorders, Chongqing, China
- Lian Kang
- Chongqing Key Laboratory of Children Urogenital Development and Tissue Engineering, Chongqing, China
- Lian Kang
- Chongqing Key Laboratory of Pediatrics, Chongqing, China
- Jie Zhao
- Department of Urology, Children's Hospital of Chongqing Medical University, Chongqing, China
- Jie Zhao
- National Clinical Research Center for Child Health and Disorders, Chongqing, China
- Jie Zhao
- Chongqing Key Laboratory of Children Urogenital Development and Tissue Engineering, Chongqing, China
- Jiandong Lu
- Department of Urology, Children's Hospital of Chongqing Medical University, Chongqing, China
- Jiandong Lu
- National Clinical Research Center for Child Health and Disorders, Chongqing, China
- Jiandong Lu
- Chongqing Key Laboratory of Children Urogenital Development and Tissue Engineering, Chongqing, China
- Tao Lin
- Department of Urology, Children's Hospital of Chongqing Medical University, Chongqing, China
- Tao Lin
- National Clinical Research Center for Child Health and Disorders, Chongqing, China
- Tao Lin
- Chongqing Key Laboratory of Children Urogenital Development and Tissue Engineering, Chongqing, China
- Tao Lin
- Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China
- Tao Lin
- China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing, China
- Dawei He
- Department of Urology, Children's Hospital of Chongqing Medical University, Chongqing, China
- Dawei He
- National Clinical Research Center for Child Health and Disorders, Chongqing, China
- Dawei He
- Chongqing Key Laboratory of Children Urogenital Development and Tissue Engineering, Chongqing, China
- Dawei He
- Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China
- Dawei He
- Chongqing Key Laboratory of Pediatrics, Chongqing, China
- Dawei He
- China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing, China
- Shengde Wu
- Department of Urology, Children's Hospital of Chongqing Medical University, Chongqing, China
- Shengde Wu
- National Clinical Research Center for Child Health and Disorders, Chongqing, China
- Shengde Wu
- Chongqing Key Laboratory of Children Urogenital Development and Tissue Engineering, Chongqing, China
- Shengde Wu
- Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China
- Shengde Wu
- Chongqing Key Laboratory of Pediatrics, Chongqing, China
- Shengde Wu
- China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing, China
- Guanghui Wei
- Department of Urology, Children's Hospital of Chongqing Medical University, Chongqing, China
- Guanghui Wei
- National Clinical Research Center for Child Health and Disorders, Chongqing, China
- Guanghui Wei
- Chongqing Key Laboratory of Children Urogenital Development and Tissue Engineering, Chongqing, China
- Guanghui Wei
- Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China
- Guanghui Wei
- Chongqing Key Laboratory of Pediatrics, Chongqing, China
- Guanghui Wei
- China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing, China
- DOI
- https://doi.org/10.3389/fped.2022.805579
- Journal volume & issue
-
Vol. 10
Abstract
PurposeTo compare the safety, efficacy, and cosmetic results of single-incision scrotal orchiopexy (SISO) and traditional two-incision inguinal orchiopexy (TTIO) for primary palpable undescended testes (PUDTs) in children.Materials and MethodsA systematic literature search of all relevant studies published on PubMed, Embase, Medline, Cochrane Library, Web of Science database, and Wanfang data until July 2021 was conducted. The operative time, hospitalization duration, conversion rate, wound infection or dehiscence, scrotal hematoma or swelling, testicular atrophy, reascent, hernia or hydrocele, analgesics needs, and cosmetic results were compared between SISO and TTIO using the Mantel–Haenszel or inverse-variance method.ResultsA total of 17 studies involving 2,627 children (1,362 SISOs and 1,265 TTIOs) were included in the final analysis. The conversion rate of SISO was 3.6%. The SISO approach had a statistically significant shorter operative time than the TTIO approach for PUDT (weighted mean difference−11.96, 95% confidence interval −14.33 to −9.59, I2 = 79%, P < 0.00001) and a shorter hospital stay (weighted mean difference−1.05, 95% confidence interval −2.07 to −0.03, P = 0.04). SISO needed fewer analgesics and had better cosmetic results than TTIO. SISO had a similar total, short-term, or long-term complication rate with TTIO.ConclusionCompared with TTIO, SISO has the advantages of shorter operative time, shorter hospitalization duration, less postoperative pain, and better cosmetic appealing results. SISO is a safe, effective, promising, and potential minimal invasive surgical approach for PUDT. SISO is an alternative to TTIO in selected cryptorchid patients, especially for lower positioned ones.Systematic Review Registrationhttps://www.crd.york.ac.uk/PROSPERO/, identifier: CRD42021268562.
Keywords
- undescended testes
- orchiopexy
- single-incision
- minimal invasive surgery
- palpable undescended testes (PUDTs)
- single-incision scrotal orchiopexy (SISO)
