Scrotal orchiopexy as an effective alternative to inguinal orchiopexy in children with cryptorchidism

A recent study suggests that scrotal orchiopexy is an effective alternative to inguinal orchiopexy in infant boys aged 6 to 12-months with cryptorchidism. The results of this study were published in the Asian Journal of Andrology.

This randomized clinical trial enrolled 100 infant boys, who were block randomized in a 1:1 ratio. Out of these, 50 of them had scrotal orchidopexy procedure done and 50 of them underwent inguinal orchidopexy. The primary outcome of the study was testicular function assessed by serum testosterone, testicular volume, anti-Müllerian hormone (AMH), and inhibin B (InhB) levels. Secondary outcomes consisted of operative time, amount of intraoperative bleeding, and postoperative complications.

At the end of the study, it was observed that the testicular volume, serum testosterone, AMH, and InhB levels in both groups increased markedly after surgery. Based on this result, it can be concluded that scrotal orchiopexy may be an effective alternative to inguinal orchiopexy in children as it may exert protective effects on testicular function in children with cryptorchidism.