Experience with single transscrotal orchidopexy for palpable cryptorchidism in Vietnamese children

This study aims to assess the effectiveness and outcomes of a single transscrotal incision orchidopexy for palpable low-lying undescended testes. A prospective cohort study was conducted using a single transscrotal incision for all cases. Intraoperative clinical variables and outcomes were evaluated. Between October 2022 and February 2023, 47 patients at Children's Hospital 2, Ho Chi Minh City, underwent 53 orchidopexies using a single transscrotal incision. The median operative time was 25 min (range: 20-40 min). Mild scrotal edema occurred in seven patients, with no major postoperative complications. A patent processus vaginalis was detected intraoperatively in 50 cases. Fifty-two of 53 testes (98%) were positioned successfully in the scrotum, with one testis slightly higher but deemed satisfactory. The mean testicular volume increased significantly from 224.6 mm³ preoperatively to 301 mm³ postoperatively (p < 0.05). The surgical success rate was 98%, with all patients satisfied with the cosmetic outcome. No cases of hernia or hydrocele were observed postoperatively. Single transscrotal incision orchidopexy is a safe and effective technique for palpable low-lying undescended testes and should be considered as a viable alternative approach.