Scrotal Orchiopexy (Bianchi Method): An Alternative Surgical Technique for Undescended Testicles

Aim: Palpable undescended testis (PUT) is a common urological condition. Traditional inguinal orchidopexy is widely performed in many clinics for the treatment of this pathology. However, crotal orchidopexy is an effective and safe surgical procedure for PUT. We aimed to evaluate the surgical outcomes of patients who underwent a single transverse scrotal incision for PUT. Methods: The data of 212 patients who underwent scrotal orchidopexy for PUT between 2018 and 2022 at our clinic were retrospectively analyzed. Unilateral cases of PUT located between the outer and inner inguinal rings or distal to the outer inguinal ring were included in the study. The analysis also considered postoperative complications and final cosmetic outcomes. Results: The average age of the patients was 3.26 years. Of these, 112 (52.8%) cases were right-sided. A hernia sac was present in 168 (79.2%) patients. The testis was located distal to the outer ring in 150 (70.8%) cases and between the outer and inner rings in 62 (29.2%) cases. Postoperative complications included scrotal edema in 8 (3.8%), wound infection in 5 (2.4%) cases, and recurrence of testicular ascent in 3 (1.4%). Cosmetic satisfaction was reported by the families of 208 patients (98.1%). Conclusion: Scrotal orchiopexy is an effective technique for managing PUT located between the outer and inner inguinal rings or distal to the outer inguinal ring.