Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Sep;13(3):176-8.
doi: 10.1016/j.aju.2015.05.002. Epub 2015 Jun 29.

The interscrotal approach to inguinoscrotal pathologies

Zineddine Soualili  1 , Djelloul Achouri  1 , Assia Haif  1 , Souhem Touabti  1 , Smain Ait Yahia  1 , Mahmoud Benmahmoud  1 , Hichem Choutri  1 , Sameh Nedjar  1 , Malika Mimoune  1 , Sayah Chouaib  1
Affiliations

The interscrotal approach to inguinoscrotal pathologies

Zineddine Soualili et al. Arab J Urol. 2015 Sep.

Abstract

Objective: To determine the efficiency of the interscrotal approach to inguinoscrotal pathologies.

Patients and methods: We report the use of the interscrotal approach in 21 boys, from September 2012 to November 2013, operated using an interscrotal access through a vertical incision on the median raphe.

Results: The approach was used for bilateral inguinal hernia (48%), bilateral ectopic testis (19%), torsion of the spermatic cord (19%), testicular biopsy (10%) and webbing of the penis (5%).

Conclusion: Inter-scrotal access is an option for inguinoscrotal pathologies, with the advantages of a single incision, much less dissection and disruption of tissue, and greater comfort for the 'day-case' child.

Keywords: Cryptorchidism; Scrotum; Testis.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Vertical incision on the median interscrotal raphe.
Figure 2
Figure 2
Exploration of the scrotum.
Figure 3
Figure 3
Full access to both testicles.
See this image and copyright information in PMC

References

    1. Bianchi A., Squire B.R. Transscrotal orchidopexy: orchidopexy revised. Pediatr Surg Int. 1989;4:189–192.
    1. Iyer K.R., Kumar V., Huddart S.N., Bianchi A. The scrotal approach. Pediatr Surg Int. 1995;10:58–60.
    1. Koyle M.A., Walsh R., Caruso A., Wilson E. Scrotal (Bianchi) approach to patent processus vaginalis in children. Tech Urol. 1999;5:95–99. - PubMed
    1. Bassel T.S., Scherz H.C., Kirsch A.J. Scrotal incision orchiopexy for undescended testes with or without a patent processus vaginalis. J Urol. 2007;177:1516–1518. - PubMed
    1. Parsons J.K., Ferrer F., Docimo S.G. The low scrotal approach to the ectopic or ascended testicle: prevalence of a patent processus vaginalis. J Urol. 2003;169:1832–1833. - PubMed

LinkOut - more resources