Clinical Trial: A Novel Technique of Circumcision Incision Orchidopexy

Study Status: Completed
Recruit Status: Completed
Study Type: Observational

Official Title: A Novel Technique of Circumcision Incision Orchidopexy for Palpable Low Inguinal Cryptorchidism: A Preliminary Report

Brief Summary: 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.

Detailed Summary:

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.


Sponsor: St. Luke's Medical Center, Philippines

Current Primary Outcome: Complication rate occurence related to the procedure [ Time Frame: 3 months- 5 years ]

Perioperative complications such as incidents of persistence of procesus vaginalis, testicular atrophy, hematoma, surgical site wound infection as well as the post-operative outcome such as testicular size changes


Original Primary Outcome: Same as current

Current Secondary Outcome:

  • Visual analogue scale (VAS) pain score post-operation [ Time Frame: post-operative 24-48 hour ]
    Average pain score post operation as described by the patient using visual analogue scale
  • Parent's satisfaction score for the procedure post-operation [ Time Frame: 1 week post operative follow up ]
    Parent's satisfaction score measured as 1-5 scale, with 1 being very unsatisfied, 2 being unsatisfied, 3 being neutral, 4 being satisfied, 5 being very satisfied
  • Operative time consumed by the procedure [ Time Frame: Operative time ]
    Time from incision to incision closure end


Original Secondary Outcome: Same as current

Information By: St. Luke's Medical Center, Philippines

Dates:
Date Received: September 18, 2014
Date Started: September 2013
Date Completion:
Last Updated: April 5, 2015
Last Verified: April 2015