ESPU Congress 2018 - Abstract Book

81 11–14 APRIL, 2018, HELSINKI, FINLAND S9: GENITALIA 1 Moderators: Katja P. Wolffenbuttel (Netherlands), Marco Castagnetti (Italy) ESPU Meeting on Thursday 12, April 2018, 14:00–14:38 14:00–14:05 S9-1 (LO) ★ SCROTAL VERSUS INGUINAL ORCHIDOPEXY IMPACT ON POSTOPERATIVE PAIN AND COMPLICATIONS: A RANDOMIZED CONTROLLED TRIAL Luis H BRAGA  1 , Melissa MCGRATH  2 , Bethany EASTERBROOK  2 , Kizanee JEGATHEESWARAN  2 , Natasha BROWNRIGG  3 , Jorge DEMARIA  4 and Armando J LORENZO  5 1) McMaster University - McMaster Children's Hospital, Department of Surgery / Urology, Hamilton, CANADA - 2) McMaster University, McMaster Pediatric Surgery Research Collaborative, Hamilton, CANADA - 3) McMaster University - McMaster Children's Hospital, Paediatrics, Hamilton, CANADA - 4) McMaster University - McMaster Children's Hospital, Surgery, Hamilton, CANADA - 5) University of Toronto, Surgery, Toronto, CANADA PURPOSE To compare scrotal (SO) vs. inguinal orchidopexy (IO) impact on analgesic use, postoperative pain scores and complication rates. MATERIAL AND METHODS AsuperiorityRCT including boys 10–95 months of age at surgery, diagnosed with palpable UDT was conducted. Patients with non-palpable or bilateral testes, previous orchidopexies and concurrent procedures were excluded. Block randomization with 1:1 allocation ratio to IO or SO was utilized, as was a standardized anesthesia protocol with peri/post-operative analgesia. Primary outcome: postoperative pain and analgesic use in hospital(FLACC/CHEOPS) and at home(PPPM/TPPS) using validated pain scales. A 2-point difference in the pain scale was considered as minimally important difference. Secondary outcomes: operative time (OpT), conversion and success rates, and complications assessed at 6–8-week F/U. RESULTS Of 1093 screened patients, 154(14 %) were eligible and 112(72 %) recruited. Of the 99 boys who completed F/U, 50 had IO and 49 SO. Baseline demographics are presented in table 1. Characteristics Inguinal n=50(%) Scrotal n=49(%) Median age at surgery (IQR) 22(IQR:13-64) 26(IQR:14-64) Mean weight (kilograms±SD) 15±6.5 16±6.1 Location of testis Canalicular Above external inguinal ring Below external inguinal ring Pre-scrotal 17(34) 23(46) 10(20) 0(0) 15(31) 18(37) 14(28) 2(4)