{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T14:24:42Z","timestamp":1783347882631,"version":"3.54.6"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate the feasibility, success rate, and outcomes of single-incision scrotal orchiopexy (SISO) for palpable undescended testes using a novel \u201ctouch sign\u201d for patient selection. No comparison groups were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective review of 162 patients (aged 7 months\u201314 years) treated between 2019 and 2024 was performed. Palpable cases underwent preoperative \u201ctouch sign\u201d assessment (balloting the testis from the inguinal canal to the scrotum), followed by transverse scrotal incision, tunica vaginalis mobilization, and dartos pouch placement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of the 162 patients assessed, 116 underwent SISO (112 successful; 4 conversions due to obesity or tunica vaginalis issues). Follow-up (1 month\u20135 years) showed no testicular atrophy, and one patient developed a clinical inguinal hernia after more than 3 years of SISO. SISO offers superior cosmesis and shorter operative time\/hospital stay than the traditional method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>SISO is a safe and effective procedure for low-lying palpable testes, with the \u201ctouch sign\u201d improving patient selection and minimizing conversions. The first author has described this novel maneuver- the \u201ctouch sign\u201d during the clinical examination.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jiaps.jiaps_21_26","type":"journal-article","created":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T17:08:27Z","timestamp":1783012107000},"page":"638-642","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Single-incision Scrotal Orchidopexy in Children: A Clinical Series"],"prefix":"10.4103","volume":"31","author":[{"given":"Harparkash Singh","family":"Miglani","sequence":"first","affiliation":[{"name":"Child Surgery Centre, Miglani Hospital, Amritsar, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bijaya Kumar","family":"Sethi","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, All India Institute of Medical Sciences, Bilaspur, Himachal Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Era","family":"Hanspal","sequence":"additional","affiliation":[{"name":"Resident Doctor Foundation Year 2, Department of General Practice NHS Grampian, Elgin, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7,2]]},"reference":[{"key":"R1-20260706","doi-asserted-by":"crossref","first-page":"611","DOI":"10.1111\/j.1651-2227.2007.00241.x","article-title":"Cryptorchidism: Classification, prevalence and long-term consequences","volume":"96","author":"Virtanen","year":"2007","journal-title":"Acta Paediatr"},{"key":"R2-20260706","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1007\/BF00179628","article-title":"The incidence of maldescended testes in Denmark","volume":"5","author":"Thorup","year":"1990","journal-title":"Pediatr Surg Int"},{"key":"R3-20260706","doi-asserted-by":"crossref","first-page":"696","DOI":"10.1016\/j.jpedsurg.2005.01.010","article-title":"Laparoscopic management of nonpalpable testes: A multicenter study of the Italian society of video surgery in infancy","volume":"40","author":"Papparella","year":"2005","journal-title":"J Pediatr Surg"},{"key":"R4-20260706","doi-asserted-by":"crossref","first-page":"667","DOI":"10.5114\/aoms.2016.59940","article-title":"Undescended testis \u2013 Current trends and guidelines: A review of the literature","volume":"12","author":"Niedzielski","year":"2016","journal-title":"Arch Med Sci"},{"key":"R6-20260706","doi-asserted-by":"crossref","first-page":"637","DOI":"10.4111\/kju.2011.52.9.637","article-title":"Single scrotal incision orchiopexy for children with palpable low-lying undescended testis: Early outcome of a prospective randomized controlled study","volume":"52","author":"Na","year":"2011","journal-title":"Korean J Urol"},{"key":"R7-20260706","doi-asserted-by":"crossref","first-page":"989","DOI":"10.1007\/s00383-016-3956-4","article-title":"Single scrotal incision orchiopexy versus the inguinal approach in children with palpable undescended testis: A systematic review and meta-analysis","volume":"32","author":"Feng","year":"2016","journal-title":"Pediatr Surg Int"},{"key":"R8-20260706","doi-asserted-by":"crossref","first-page":"1133","DOI":"10.4111\/kju.2009.50.11.1133","article-title":"A comparison between single scrotal incision orchiopexy and the inguinal approach in patients with palpable undescended testes distal to the external inguinal ring","volume":"50","author":"Lee","year":"2009","journal-title":"Korean J Urol"},{"key":"R9-20260706","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1016\/j.aju.2014.11.003","article-title":"Single scrotal-incision orchidopexy for palpable undescended testis in children","volume":"13","author":"Zouari","year":"2015","journal-title":"Arab J Urol"},{"key":"R10-20260706","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1016\/S0022-5347(05)67485-X","article-title":"Single scrotal incision orchiopexy for the palpable undescended testicle","volume":"164","author":"Caruso","year":"2000","journal-title":"J Urol"},{"key":"R11-20260706","doi-asserted-by":"crossref","first-page":"143","DOI":"10.4103\/0189-6725.132808","article-title":"Single high scrotal incision orchidopexy for unilateral palpable testis: A randomised controlled study","volume":"11","author":"Eltayeb","year":"2014","journal-title":"Afr J Paediatr Surg"},{"key":"R12-20260706","doi-asserted-by":"crossref","first-page":"1516","DOI":"10.1016\/j.juro.2006.11.075","article-title":"Scrotal incision orchiopexy for undescended testes with or without a patent processus vaginalis","volume":"177","author":"Bassel","year":"2007","journal-title":"J Urol"},{"key":"R13-20260706","doi-asserted-by":"crossref","first-page":"34","DOI":"10.4103\/abr.abr_26_19","article-title":"Trans-scrotal incision approach versus traditional trans-scrotal incision orchiopexy in children with cryptorchidism: A randomized trial study","volume":"8","author":"Nazem","year":"2019","journal-title":"Adv Biomed Res"},{"key":"R14-20260706","doi-asserted-by":"crossref","first-page":"61","DOI":"10.4103\/0189-6725.150986","article-title":"Orchiopexy through a single high transverse scrotal incision","volume":"12","author":"Khirallah","year":"2015","journal-title":"Afr J Paediatr Surg"},{"key":"R15-20260706","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1007\/BF00181983","article-title":"Transscrotal orchidopexy: Orchidopexy revised","volume":"4","author":"Bianchi","year":"1989","journal-title":"Pediatr Surg Int"}],"container-title":["Journal of Indian Association of Pediatric Surgeons"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.4103\/jiaps.jiaps_21_26","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T13:47:59Z","timestamp":1783345679000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.4103\/jiaps.jiaps_21_26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":14,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/jiaps.jiaps_21_26","relation":{},"ISSN":["0971-9261","1998-3891"],"issn-type":[{"value":"0971-9261","type":"print"},{"value":"1998-3891","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"2026-01-09","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-12","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}