1. 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

2. OBJETIVES Pre-scrotal access
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

3. Prospective work, from July 2004 to August 2007
MATERIAL AND METHODS
Prospective work, from July 2004 to August 2007
Total: 220 patients
Inguinal Hernia
Inguinal Cysts
Undescended reticules
Hydrocele
Acute scrotum
Testicular prosthesis
Testicular tumors
Testicular torsion
Ages: from 4 m a 13 y ( medium 4,8 y )
All surgeries were done by the same Pediatric Surgeon

4. RESULTS 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% return 100% success
Corionic gonadotrofine

5. 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

12. Conclusion No manipulation in T. Tumors 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

13. Orchidopexy??