A Novel Technique of Circumcision Incision Orchidopexy

Completed

• Conditions: Cryptorchidism; Undescended Testis
• Interventions: Procedure: Novel technique Circumcision Incision Orchidopexy

• Registration Number: NCT02249637
• Lead Sponsor: St. Luke's Medical Center, Philippines

Brief Summary

Given that both circumcision and orchidopexy are commonly done in a single setting, the investigators adopted the technique of orchidopexy via circumcision incision, particularly for palpable low inguinal cryptorchidism. In this paper, the investigators aim to present a novel technique and discuss our preliminary outcome of such procedure compared to the traditional inguinal-scrotal double incision technique. Specifically, the investigators aimed to determine the differences in operative time, testicular size changes, peri-operative complications, pain score and parent's satisfaction of both novel technique and conventional orchidopexy.

Detailed Description

Cryptorchidism is the most common disorder of the male endocrine gland in children.. 1 According to the latest guideline by European Association of Urology in the Pediatric Urology for the treatment of cryptorchidism, both inguinal and scrotal approaches orchidopexy are accepted standard treatment options. 2 In the local setting, circumcision is another common surgical procedure among the children, particularly under the same instance of anesthesia for other procedure. Not only due to religious and sociocultural reasons, male circumcision has been recently considered having a protective effect against acquisition of various sexually transmitted infections (STIs). 3 This benefit is one of many that have led to many affirmative evidence-based policy statements by medical bodies in support of the procedure.

Given that both procedures are commonly done in a single setting, we adopted the technique of orchidopexy via circumcision incision, particularly for palpable low inguinal cryptorchidism. In this paper, we aim to present a novel technique and discuss our preliminary outcome of such procedure compared to the traditional inguinal-scrotal double incision technique. Specifically, we aimed to determine the differences in operative time, testicular size changes, peri-operative complications, pain score and parent's satisfaction of both novel technique and conventional orchidopexy.

Study Timeline

• Study Start: 2013-09
• Study First Submitted: 2014-09-18
• Study First Submitted QC: 2014-09-22
• Study First Posted: 2014-09-25
• Primary Completion: 2014-11
• Study Completion: 2014-12
• Status Verified: 2015-04
• Last Update Submitted: 2015-04-05
• Last Update Posted: 2015-04-07

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Male
• Target Recruitment: 14

Inclusion Criteria

• Children diagnosed with palpable cryptorchidism with pre-operative inguino-scrotal ultrasound to confirm the location of the testis on the low inguinal canal and its viability.

Exclusion Criteria

• Excluded were non-palpable testis, with prior orchidopexy, circumcised, with other concomitant genital anomalies.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Novel Technique (Circumcision incision)	Novel technique Circumcision Incision Orchidopexy	Patients with diagnosed palpable low inguinal cryptorchidism underwent novel technique- circumcision incision orchidopexy.

Primary Outcome Measures

Name	Time	Method
Complication rate occurence related to the procedure	3 months- 5 years	Perioperative complications such as incidents of persistence of procesus vaginalis, testicular atrophy, hematoma, surgical site wound infection as well as the post-operative outcome such as testicular size changes

Secondary Outcome Measures

Name	Time	Method
Visual analogue scale (VAS) pain score post-operation	post-operative 24-48 hour	Average pain score post operation as described by the patient using visual analogue scale
Parent's satisfaction score for the procedure post-operation	1 week post operative follow up	Parent's satisfaction score measured as 1-5 scale, with 1 being very unsatisfied, 2 being unsatisfied, 3 being neutral, 4 being satisfied, 5 being very satisfied
Operative time consumed by the procedure	Operative time	Time from incision to incision closure end

Trial Locations

Locations (1)

Institute of Urology; 🇵🇭 Quezon City, NCR, Philippines