A Novel Technique of Circumcision Incision Orchidopexy
A Novel Technique of Circumcision Incision Orchidopexy
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.
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.
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.