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BACKGROUND	Bianchi and Squire introduced single high trans-scrotal incision for mobilisation of palpable undescended testes to decrease the potential morbidity of the traditional inguinal approach .
BACKGROUND	This incision has not gained widespread acceptance and there is still a considerable debate about its efficacy .
BACKGROUND	This study evaluated the outcome of high single scrotal incision in comparison to the classic inguinal exploration for unilateral palpable testes regardless to its pre-operative location to assure its validity and safety .
METHODS	This was a randomised controlled study conducted on seventy males with palpable unilateral undescended testicles from November 2009 to October 2013 .
METHODS	They were divided into two equal groups ; group I had high single scrotal incision and group II had the classic inguinal approach .
METHODS	The comparative parameters between both groups were the operative time , intra-and post-operative complications , post-operative pain and scar .
RESULTS	There was statistical significant difference between both groups regarding the operative time ( P < 0.001 ) .
RESULTS	The high scrotal approach ( Group I ) was not completed in three cases and were converted to the classic inguinal approach .
RESULTS	No statistical significant difference between both groups regarding the post-operative complications .
CONCLUSIONS	Single high scrotal incision orchidopexy for palpable undescended testis is safe , has shorter operative time but may not be suitable for proximally lying testis .

