DOI: 10.36347/sasjs.2022.v08i03.021

Pages: 182-187

Background: Undescended testis is a common genitourinary anomaly in a male child. Orchiopexy is the mainstay of treatment for undescended testis (UDT). Method of fixation may be sub dartos or extra dartos approach technique. This study is designed to find out the outcome of the extra dartos pouch fixation technique of orchiopexy in undescended testis. Objective: To evaluate the outcome of the extra dartos pouch fixation technique of orchiopexy in retaining testis in the scrotum. Methodology: This prospective observational study was conducted from January 2019 to April 2020 in the Department of Pediatric Surgery, Mymensingh Medical College, Mymensingh. A total of 30 patients with UDT who fulfilled the inclusion and exclusion criteria were included in this study group. History was recorded in a data collection sheet after taking informed written consent from the parents/guardians. Proper clinical examination, investigations were done. Pre and postoperative clinical and sonographic findings were taken to evaluate the outcome of the extra dartos pouch fixation technique of orchiopexy in undescended testis. All data were analyzed by SPSS version 20.0 software. Result: A total of 30 patients with undescended testis were included in this study. Age range 6 months to 6 years with a mean age of 3.48±1.77 years. Among 30 patients 19(63.3%) had right-sided and 11(36.7%) had left-sided UDT. Sonological localization in the inguinal canal was 21(70%), the superficial inguinal ring was 9(30%). The associated hernia was present in 27(90%) patients. Preoperative sonographic measurements of mean length and breadth of testis were 1.49±0.45cm and 0.88±0.34 cm respectively. Postoperative sonographic measurements of mean length and breadth were 1.46±0.47cm and 0.87±0.35cm respectively. The comparison between pre and postoperative sonographic measurement of length and breadth of testis was 0.098 ± 0.027cm and 0.03 ± 0.01cm respectively. No ascent of the testis nor testicular atrophy .....