Journals / Southern Clinics of Istanbul Eurasia / 2021 / Cilt: 32 - Sayı: 4
Our Dartos Pouch Orchiopexy Results Without Transparenchymal Testicular Suture Fixation
- Pages
- 350–353
- DOI
- —
Abstract
Objective: To evaluate the operation results in children with the diagnosis of undescended testis who underwent orchiopexy without fixation of transparanchymal sutures. Methods: In this study, 347 patients who were operated on for undescended testis be- tween October 2013–January 2020 were retrospectively reviewed. The testis was placed in the dartos pouch and the pouch was narrowed on both sides in patients. Those who underwent surgery with the diagnosis of undescended testis were between the ages of 1 and 15. Transparenchymal suture fixation was not applied in order not to damage testicular parenchymal tissue and adversely affect spermatogenesis. The patients were evaluated in terms of postoperative complications, operation success rate, and recurrence. Results: 347 patients who underwent orchiopexy by narrowing the dartos pouch without transparenchymal suture fixation were evaluated. In the physcial examination performed in the follow-up of 338 patients, it was observed that the testicles were in the scrotum, and the testicular dimensions were normal in the scrotal ultrasonography performed at the 6 th month and 1 st year postoperatively. 7 patients underwent reoperation due to recurrence, 2 patients underwent orchiectomy for atrophy. Conclusion: In some experimental studies, it was found that the suture passing through the testicular parenchyma damage the testicular parenchyma tissue and affect the germ cell development. For this reason, if the testicle descends into the scrotum without tension, and the dartos pouch is narrowed on both sides without recurrence, testicular parenchymal fix- ation may not be applied because the suture to be passed through the testicular parenchyma may damage this tissue histologivally. Considering the 97.4% success rate in this study, it was seen that successful orchiopexy could be performed without passing through the testicular parenchyma in suitable patients in order not to adversely affect the spermategenesis.