Laparoscopic orchidopexy: the easy way to go

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

Research output: Contribution to journalArticle

7 Citations (Scopus)

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 2009
Externally publishedYes

Fingerprint

Orchiopexy
Testis
Cryptorchidism
Groin
Lost to Follow-Up
Hematoma
Outpatients
Morbidity

Keywords

  • Fowler-Stephens
  • Laparoscopic
  • Orchidopexy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

Cite this

Burjonrappa, S., 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

Laparoscopic orchidopexy : the easy way to go. / Burjonrappa, Sathyaprasad; Al Hazmi, Hamdan; Barrieras, Diego; Houle, Anne Marie; Franc-Guimond, Julie.

In: Journal of Pediatric Surgery, Vol. 44, No. 11, 11.2009, p. 2168-2172.

Research output: Contribution to journalArticle

Burjonrappa, S, Al Hazmi, H, Barrieras, D, Houle, AM & Franc-Guimond, J 2009, 'Laparoscopic orchidopexy: the easy way to go', Journal of Pediatric Surgery, vol. 44, no. 11, pp. 2168-2172. https://doi.org/10.1016/j.jpedsurg.2009.06.022
Burjonrappa S, Al Hazmi H, Barrieras D, Houle AM, Franc-Guimond J. Laparoscopic orchidopexy: the easy way to go. Journal of Pediatric Surgery. 2009 Nov;44(11):2168-2172. https://doi.org/10.1016/j.jpedsurg.2009.06.022
Burjonrappa, Sathyaprasad ; Al Hazmi, Hamdan ; Barrieras, Diego ; Houle, Anne Marie ; Franc-Guimond, Julie. / Laparoscopic orchidopexy : the easy way to go. In: Journal of Pediatric Surgery. 2009 ; Vol. 44, No. 11. pp. 2168-2172.
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