Abstract Book - 26th ESPU Congress, Joint Meeting with ICCS + SPU + AAP/SOU + AAPU + SFU

15:40 - 15:43

S18-3

(PP)

TESTICULAR VOLUME DYNAMICS AFTER BIANCHI AND SHOEMAKER

ORCHIOPEXY

Vladimir ORLOV

, Vladimir SIZONOV

, Mikhail KOGAN

and Olesya SHALDENKO

1) The Rostov State Medical University, Urology, Rostov-On-Don, RUSSIAN FEDERATION - 2) Regional Children's

Hospital, Paediatric Urology, Rostov On Don, RUSSIAN FEDERATION

PURPOSE

Increasingly popular use of scrotal access during orchiopexy determines the interest towards analysis of the collected

results of method application, especially in comparison with traditional Shoemaker's

sought to establish

the effectiveness of orchiopexy based on Bianchi and Shoemaker techniques used for correction of palpable cryptorchid

testes.

MATERIAL AND METHODS

During 2009-2013 154 children with unilateral cryptorchidism were operated (right - 74 (48%), left - 80 (52%)). Testes

were palpable in the inguinal canal projection and at the superficial inguinal ring; we excluded from the study patients

with obliterated Nuck's diverticulum. Group I - 60 patients, average age 61,41±22,90 months, operated using Bianchi

technique. Group II - 94 boys, average age 66,06±18,18 months - Shoemaker's orchiopexy. Testicular volume of the

normal and undescended testicles was determined during the operation and in a year after it. Testicular atrophy index

(Iatr) was calculated using the formula: Iatr=(HEALTHY TESTICLE VOLUME-UNDESCENDED TESTICLE VOLUME

)/(HEALTHY TESTICLE VOLUME)×100%. Statistical evaluation of obtained results was carried out as Student's t-test.

RESULTS

Patients in Group I had during the operation Iatr of 58,1±12,2%, in Group II - 69,7±9,7% (p>0,05). After orchiopexy

boys of Group I had Iatr - 36,2±16,5%, Iatr in Group II was 39,3±17,3% (p>0,05).

CONCLUSIONS

Scrotal access is less traumatic and offers better cosmetic effect, at the same time offering results comparable with the

dynamics of testicular volume after an operation using Shoemaker's technique, which makes it preferable for corrective

bringing down of palpable testes.