Laparoscopic orchidopexy: the easy way to go

Sathyaprasad C. Burjonrappa, Hamdan Al Hazmi, Diego Barrieras, Anne Marie Houle, Julie Franc-Guimond

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

Background/Purpose: 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. Materials and Methods: 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. Results: 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 success rate is 93.3% (14/15). All testicles are intrascrotal, and all but 1 have maintained preoperative volume. Conclusion: Two-stage laparoscopic orchidopexy is a fairly easy surgical procedure with minimum morbidity and high short term success rate. A larger cohort of patients with long-term follow-up is needed to substantiate these findings.

Original languageEnglish (US)
Pages (from-to)2168-2172
Number of pages5
JournalJournal of Pediatric Surgery
Volume44
Issue number11
DOIs
StatePublished - Nov 1 2009

Keywords

  • Fowler-Stephens
  • Laparoscopic
  • Orchidopexy

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

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    Burjonrappa, S. C., Al Hazmi, H., Barrieras, D., Houle, A. M., & Franc-Guimond, J. (2009). Laparoscopic orchidopexy: the easy way to go. Journal of Pediatric Surgery, 44(11), 2168-2172. https://doi.org/10.1016/j.jpedsurg.2009.06.022