Pre scrotal access in inguinal scrotal pathologies
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Pre-scrotal access in inguinal-scrotal pathologies. Dr. GERMAN QUEVEDO P. FACS FAAP Pediatric and Urology Service Japanese University Hospital Santa Cruz - Bolivia II World Congress of the World Federation of Association of Pediatrics Surgeons

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Pre-scrotal access in inguinal-scrotal pathologies

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Pre-scrotal access in inguinal-scrotal pathologies

Dr. GERMAN QUEVEDO P. FACS FAAP

Pediatric and Urology Service

Japanese University Hospital

Santa Cruz - Bolivia

II World Congress of the World Federation of Association of Pediatrics Surgeons

VII Congress of the Federation of Pediatric Surgical Associations of the South Cone of America

Argentina - 2007


Pre-scrotal access

OBJETIVES

To present an alternative for the inguinal-scrotal

pathologies

To discuss the advantages and disadvantages of this access

To present our experience with this access


MATERIAL AND METHODS

Prospective work, from July 2004 to August 2007

Total: 220 patients

Inguinal Hernia 92

Inguinal Cysts 20

Undescended reticules 68

Hydrocele 22

Acute scrotum 9

Testicular prosthesis 3

Testicular tumors 4

Testicular torsion 2

Ages: from 4 m a 13 y ( medium 4,8 y )

All surgeries were done by the same Pediatric Surgeon


  • Palpables Undescended Testicules

    • 70% were found in the inferior inguinal chanel

    • 30% were found in the medium inguinal chanel

  • 80% The aponeurotic fascia was respect

  • 100% got a scrotal position

  • 80% satisfactory

  • 20% scrotal high position

  • Medium surgical time was 30 min.

  • Controls after 20 months of surgeries

  • 80% return100% success

  • RESULTS

    Corionic gonadotrofine


    RESULTS

    • Inguinal Hernia, Inguinal Cysts, Hydrocele

    • - No relapse were found in any case

    • - 100% were not opened the aponeuroses

    • Testicular tumors

      • Considering the tumorals sizes, the surgical time was to short

  • Testicular torsion

    • Immediate access with minimal mobilization for

  • element's evaluation


  • Conclusion

    • Short surgical time

    • Minimal learn curve

    • High percentage of respecting aponeuroses

    • Only one incision for UDTs

    • Easy access to the scrotum in UDTs

    • Easy access and quickly evaluation in: Hydrocele, T. Tumors

    • Acute scrotum, Inguinal hernia

    • No manipulation in T. Tumors

    • Excellent option for people that need to return to physical activity

    • Excellent cosmetic


    Orchidopexy??


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