Palpable Undescended Testes: 15 Years of Experience and Outcome in Laparoscopic Orchiopexy

Riquelme, Mario; Elizondo, Rodolfo A.; Aranda, Arturo

doi:10.1089/end.2015.0118

Cited by 14 publications

(23 citation statements)

References 20 publications

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“…10 Riquelme et al treated 192 cryptorchid palpable testes with laparoscopy and found the excellent outcomes -only 2 (0.4%) testicles had reascended, and there was no testicular atrophy. 8 Similarly, Elderwy et al revealed that laparoscopic orchiopexy had a comparable success rate with open orchiopexy, and laparoscopy was relatively more effective, as it had less redo cases. 3 A study from He et al reported 103 inguinal canalicular palpable undescended testes that were managed with laparoscopy.…”

Section: Discussionmentioning

confidence: 98%

“…First, laparoscopy could provide a wide range of testicular dissection and complete releasing of spermatic vessels, which allow for satisfactory orchiopexy. 6,8 By this way, it can improve the length of spermatic cord and bring down the testis to the button of scrotum without tension. Conversely, in open surgery the dissection is difficult in the retroperitoneum close to the lower pole of the kidney.…”

Section: Discussionmentioning

confidence: 99%

“…In the previous study, a trocar was introduced through scrotum to the peritoneal cavity. 7,8 One advantage of our study is that it is a prospective study. Moreover, it was conducted to study a large number of cases, and the outcomes were evaluated by the third blind doctors.…”

Section: Fig 3 (A)mentioning

confidence: 99%

“…There has been limited studies with small sample sizes and without persuadable conclusions. 3,7,8 We conducted a prospective comparison study with large volume of cases to answer this question. The work evaluated final testicular position, success rate, and complications.…”

Section: Introductionmentioning

confidence: 99%

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Laparoscopic Orchiopexy Versus Open Orchiopexy for Palpable Undescended Testis in Children: A Prospective Comparison Study

Yang

Zeng

et al. 2020

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Background: Can laparoscopic orchiopexy achieve a better testicular position and a higher success rate than open orchiopexy for palpable undescended testis in children? We conducted a prospective comparison study with a large volume of cases to answer this question. Methods: A total of 256 patients with palpable undescended testis who were admitted between January 1, 2017 and December 31, 2017 were included in this study. Among them, 124 patients underwent laparoscopic orchiopexy and 132 patients underwent open inguinal orchiopexy. The outcome evaluated index included final testicular position, success rate, and complications. Results: Of 256 patients, the mean age was 2.4 years; 218 patients had unilateral palpable testis, and the other 38 patients had bilateral palpable testis. There were no significant differences between laparoscopic orchiopexy group and open orchiopexy group with respect to age, side, preoperative testicular position, and testicular volume. The final testicular position in laparoscopic group was better than that in open group (lower position rate: 89.3% versus 77.9%, P = .01). There was no significant difference in success rate (laparoscopic group: 100%; and open group: 98.5%). There were 3 complications in the laparoscopic group and 6 complications in open group (P > .05). No testicular atrophy was found in either group. No testicular ascent occurred in laparoscopic group while there were 2 cases in open group, which required additional surgery for correction. Of patients who underwent surgery at the age of 3 years or older (n = 75), laparoscopic surgery was associated with markedly better testicular position than open surgery (lower position rate: 88.1% versus 69.6%, P = .03). Conclusions: Laparoscopic orchiopexy is associated with better testicular position and comparable success rate comparing to open orchiopexy for palpable undescended testis in children. This procedure could be recommended for palpable undescended testis, especially in older children.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Fig 3 (A)mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Laparoscopic Orchiopexy Versus Open Orchiopexy for Palpable Undescended Testis in Children: A Prospective Comparison Study

Yang

Zeng

et al. 2020

Journal of Laparoendoscopic & Advanced Surgical Techniques

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“…Then, Riquelme et al indicated that LO was a safe procedure for patients with palpable undescended testes, and no more complications were found compared to the traditional surgery. Of 192 patients studied, only one case was converted to TIO [7,10]. However, based on the surgeon's preference and experience, inguinal and prescrotal techniques are still recommended for palpable UDT undergoing surgery [11].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic orchiopexy versus traditional inguinal incision orchidopexy for palpable undescended testes in cryptorchidism

Wang

Luo

2020

Preprint

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Background ： Laparoscopic orchidopexy (LO) has become a standard procedure for the treatment of nonpalpable undescended testes. Nevertheless, the use of LO for palpable undescended testes still remains controversial. The aim of this study was to explore the impact of laparoscopic orchiopexy procedure on palpable undescended testes in children suffering from cryptorchidism. Methods: A retrospective study was performed for LO and traditional inguinal incision orchidopexy (TIO) carried out to treat palpable undescended testes. In total, 291 children aged 9 months to 96 months with either left or right side palpable inguinal canalicular testes were included. 170 patients received LO and 121 patients received TIO. Age, operative time and clinical outcomes of the patients were reviewed. Independent t test and Fisher’s exact test were performed by using the SPSS 25.0 software. Results: In the younger groups, the mean operative time (younger than 1 year old, 30.50±5.88 vs. 39.86±6.11 min; 1-2 years old, 34.43±6.65 vs. 40.23±8.74) and postoperative normal activity time (younger than 1 year old, 1.20±0.40 vs. 2.12±0.48 days; 1-2 years old, 1.58±0.50 vs. 2.02±0.43 days) of LO were significantly shorter than those in the TIO group ( P <0.05). The operative time of LO was significantly longer than that in the TIO group in older groups (aged>3 years old). 47 of 49 cases (95.9%) of patients aged less than 1 year old were treated by LO successfully. Among the patients aged 1-2 years, 80 of 86 cases (93.0%) successfully completed LO. Totally, 43 cases were transferred to inguinal incisions. Conclusion: LO is an appropriate choice for palpable undescended testes, especially in children younger than 2 years old. The percentage of successful LO decreased with the increasing age.

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Cryptorchidism

Chu

Tasian

2018

Evidence‐Based Urology

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Palpable Undescended Testes: 15 Years of Experience and Outcome in Laparoscopic Orchiopexy

Abstract: Laparoscopy is a great and safe option for patients with palpable undescended testes, regardless of its position in the inguinal canal.

Cited by 14 publications

References 20 publications

Laparoscopic Orchiopexy Versus Open Orchiopexy for Palpable Undescended Testis in Children: A Prospective Comparison Study

Laparoscopic Orchiopexy Versus Open Orchiopexy for Palpable Undescended Testis in Children: A Prospective Comparison Study

Laparoscopic orchiopexy versus traditional inguinal incision orchidopexy for palpable undescended testes in cryptorchidism

Cryptorchidism

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