Laparoscopic orchidopexy: the easy way to go

Journal of Pediatric Surgery
Sathyaprasad C BurjonrappaJulie Franc-Guimond

Abstract

Intraabdominal testes represent less than 10% of cryptorchid testicles, and yet, they are the most challenging to correct. In the last 15 years, the two-stage Fowler-Stephens orchidopexy has gained popularity. The traditional approach includes laparoscopic or open clipping of the testicular vessels (first stage) and open inguinal orchidopexy (second stage). We present our experience with 2-stage orchidopexy with both stages done through a laparoscopic approach. Over a recent 5-year period, we reviewed patients operated for intraabdominal testis using a two-stage laparoscopic orchidopexy with a minimum of 1-year follow-up. In this study, success is defined as a nonatrophic, intrascrotal testis. Fifteen patients met the inclusion criteria, and none were lost to follow-up. In the 15 patients, 11 had a unilateral intraabdominal testis, and 4 had bilateral cryptorchidism, with one of the 2 testes intraabdominal. The first stage was done at a mean age of 32 months, and the average time between the two stages was 9.7 months. All procedures (31) were done on an outpatient basis. Only 2 complications occurred, one scrotal hematoma and one redo first stage because of unsuccessful clipping noted at the time of planned second stage. The su...Continue Reading

References

Nov 1, 1985·The British Journal of Surgery·S A BoddyP Gornall
Aug 13, 2003·The Journal of Urology·Julie Franc-GuimondRicardo González
Nov 25, 2003·The Journal of Urology·Christian RadmayrGeorg Bartsch
Oct 21, 2006·Surgical Endoscopy·F El-AnanyA El-Haggagy
Jun 4, 2008·Current Opinion in Urology·Julia S Barthold

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Citations

Sep 2, 2011·Pediatric Surgery International·Rashmi R SinghShawqui Nour
Dec 3, 2014·The Urologic Clinics of North America·Ronnie G Fine, Israel Franco
Feb 11, 2015·Pediatric Surgery International·Carolyn WayneUNKNOWN Canadian Association of Paediatric Surgeons Evidence-Based Resource
Nov 14, 2015·World Journal of Clinical Pediatrics·Kin Wai Edwin ChanYuk Him Tam
May 20, 2021·Current Urology Reports·Mitchell HayesCasey Seideman

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