A comparative study between two techniques of laparoscopic orchiopexy for intra-abdominal testis
Introduction: Several techniques have been described for laparoscopic orchidopexy in patients with intra-abdominal testes. We aimed to report our experience with the staged laparoscopic traction orchiopexy (Shehata technique) and to compare it to the Fowler-Stephens orchidopexy (FSLO). Methods: We c...
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| Published in | Indian journal of urology Vol. 37; no. 3; pp. 261 - 266 |
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| Main Authors | , |
| Format | Journal Article |
| Language | English |
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India
Wolters Kluwer India Pvt. Ltd
01.07.2021
Medknow Publications and Media Pvt. Ltd Medknow Publications & Media Pvt. Ltd Wolters Kluwer - Medknow Wolters Kluwer Medknow Publications |
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| Abstract | Introduction: Several techniques have been described for laparoscopic orchidopexy in patients with intra-abdominal testes. We aimed to report our experience with the staged laparoscopic traction orchiopexy (Shehata technique) and to compare it to the Fowler-Stephens orchidopexy (FSLO).
Methods: We conducted a retrospective cohort study at two pediatric surgery departments from 2017 to 2020. Fifty-six patients underwent laparoscopic exploration and the testis was intra-abdominal in 41 of them. Patients with vanished testis or those who underwent open orchidopexy or vessel-intact laparoscopic orchidopexy were excluded. Those who underwent FSLO (n = 18), or Shehata laparoscopic orchidopexy (n = 11) were compared.
Results: Preoperative data were comparable between both the groups. FSLO had a significantly shorter first-stage operative time (34.61 ± 6.43 vs. 58 ± 9.39 min, P < 0.001), with no difference in the second stage. There was no difference in the initial position of the testes between both the techniques. The testis dropped from the fixation position in three patients in the Shehata group (27.27%), and consequently, the cord did not increase in length by the second stage, and these testes barely reached the scrotum. At 12 months' follow-up, the testes' size, position, and consistency were comparable between the two groups.
Conclusion: Staged laparoscopic traction orchidopexy is feasible for the management of intra-abdominal testes, especially in the low-lying testes. |
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| AbstractList | Several techniques have been described for laparoscopic orchidopexy in patients with intra-abdominal testes. We aimed to report our experience with the staged laparoscopic traction orchiopexy (Shehata technique) and to compare it to the Fowler-Stephens orchidopexy (FSLO).INTRODUCTIONSeveral techniques have been described for laparoscopic orchidopexy in patients with intra-abdominal testes. We aimed to report our experience with the staged laparoscopic traction orchiopexy (Shehata technique) and to compare it to the Fowler-Stephens orchidopexy (FSLO).We conducted a retrospective cohort study at two pediatric surgery departments from 2017 to 2020. Fifty-six patients underwent laparoscopic exploration and the testis was intra-abdominal in 41 of them. Patients with vanished testis or those who underwent open orchidopexy or vessel-intact laparoscopic orchidopexy were excluded. Those who underwent FSLO (n = 18), or Shehata laparoscopic orchidopexy (n = 11) were compared.METHODSWe conducted a retrospective cohort study at two pediatric surgery departments from 2017 to 2020. Fifty-six patients underwent laparoscopic exploration and the testis was intra-abdominal in 41 of them. Patients with vanished testis or those who underwent open orchidopexy or vessel-intact laparoscopic orchidopexy were excluded. Those who underwent FSLO (n = 18), or Shehata laparoscopic orchidopexy (n = 11) were compared.Preoperative data were comparable between both the groups. FSLO had a significantly shorter first-stage operative time (34.61 ± 6.43 vs. 58 ± 9.39 min, P < 0.001), with no difference in the second stage. There was no difference in the initial position of the testes between both the techniques. The testis dropped from the fixation position in three patients in the Shehata group (27.27%), and consequently, the cord did not increase in length by the second stage, and these testes barely reached the scrotum. At 12 months' follow-up, the testes' size, position, and consistency were comparable between the two groups.RESULTSPreoperative data were comparable between both the groups. FSLO had a significantly shorter first-stage operative time (34.61 ± 6.43 vs. 58 ± 9.39 min, P < 0.001), with no difference in the second stage. There was no difference in the initial position of the testes between both the techniques. The testis dropped from the fixation position in three patients in the Shehata group (27.27%), and consequently, the cord did not increase in length by the second stage, and these testes barely reached the scrotum. At 12 months' follow-up, the testes' size, position, and consistency were comparable between the two groups.Staged laparoscopic traction orchidopexy is feasible for the management of intra-abdominal testes, especially in the low-lying testes.CONCLUSIONStaged laparoscopic traction orchidopexy is feasible for the management of intra-abdominal testes, especially in the low-lying testes. Several techniques have been described for laparoscopic orchidopexy in patients with intra-abdominal testes. We aimed to report our experience with the staged laparoscopic traction orchiopexy (Shehata technique) and to compare it to the Fowler-Stephens orchidopexy (FSLO). We conducted a retrospective cohort study at two pediatric surgery departments from 2017 to 2020. Fifty-six patients underwent laparoscopic exploration and the testis was intra-abdominal in 41 of them. Patients with vanished testis or those who underwent open orchidopexy or vessel-intact laparoscopic orchidopexy were excluded. Those who underwent FSLO ( = 18), or Shehata laparoscopic orchidopexy ( = 11) were compared. Preoperative data were comparable between both the groups. FSLO had a significantly shorter first-stage operative time (34.61 ± 6.43 vs. 58 ± 9.39 min, < 0.001), with no difference in the second stage. There was no difference in the initial position of the testes between both the techniques. The testis dropped from the fixation position in three patients in the Shehata group (27.27%), and consequently, the cord did not increase in length by the second stage, and these testes barely reached the scrotum. At 12 months' follow-up, the testes' size, position, and consistency were comparable between the two groups. Staged laparoscopic traction orchidopexy is feasible for the management of intra-abdominal testes, especially in the low-lying testes. Introduction: Several techniques have been described for laparoscopic orchidopexy in patients with intra-abdominal testes. We aimed to report our experience with the staged laparoscopic traction orchiopexy (Shehata technique) and to compare it to the Fowler-Stephens orchidopexy (FSLO). Methods: We conducted a retrospective cohort study at two pediatric surgery departments from 2017 to 2020. Fifty-six patients underwent laparoscopic exploration and the testis was intra-abdominal in 41 of them. Patients with vanished testis or those who underwent open orchidopexy or vessel-intact laparoscopic orchidopexy were excluded. Those who underwent FSLO (n = 18), or Shehata laparoscopic orchidopexy (n = 11) were compared. Results: Preoperative data were comparable between both the groups. FSLO had a significantly shorter first-stage operative time (34.61 ± 6.43 vs. 58 ± 9.39 min, P < 0.001), with no difference in the second stage. There was no difference in the initial position of the testes between both the techniques. The testis dropped from the fixation position in three patients in the Shehata group (27.27%), and consequently, the cord did not increase in length by the second stage, and these testes barely reached the scrotum. At 12 months' follow-up, the testes' size, position, and consistency were comparable between the two groups. Conclusion: Staged laparoscopic traction orchidopexy is feasible for the management of intra-abdominal testes, especially in the low-lying testes. Introduction: Several techniques have been described for laparoscopic orchidopexy in patients with intra-abdominal testes. We aimed to report our experience with the staged laparoscopic traction orchiopexy (Shehata technique) and to compare it to the Fowler-Stephens orchidopexy (FSLO). Methods: We conducted a retrospective cohort study at two pediatric surgery departments from 2017 to 2020. Fifty-six patients underwent laparoscopic exploration and the testis was intra-abdominal in 41 of them. Patients with vanished testis or those who underwent open orchidopexy or vessel-intact laparoscopic orchidopexy were excluded. Those who underwent FSLO (n = 18), or Shehata laparoscopic orchidopexy (n = 11) were compared. Results: Preoperative data were comparable between both the groups. FSLO had a significantly shorter first-stage operative time (34.61 ± 6.43 vs. 58 ± 9.39 min, P < 0.001), with no difference in the second stage. There was no difference in the initial position of the testes between both the techniques. The testis dropped from the fixation position in three patients in the Shehata group (27.27%), and consequently, the cord did not increase in length by the second stage, and these testes barely reached the scrotum. At 12 months' follow-up, the testes' size, position, and consistency were comparable between the two groups. Conclusion: Staged laparoscopic traction orchidopexy is feasible for the management of intra-abdominal testes, especially in the low-lying testes. |
| Audience | Academic |
| Author | Maghrabi, Abdulrahman Bawazir, Osama |
| AuthorAffiliation | Department of Surgery, Faculty of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia 1 Department of Pediatric Surgery, Maternity and Children Hospital, Makkah, Saudi Arabia |
| AuthorAffiliation_xml | – name: Department of Surgery, Faculty of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia – name: 1 Department of Pediatric Surgery, Maternity and Children Hospital, Makkah, Saudi Arabia |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/34465956$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1016_j_yjpso_2025_100205 crossref_primary_10_1016_j_jpedsurg_2023_04_013 crossref_primary_10_3390_jcm13072045 crossref_primary_10_12688_f1000research_141110_1 crossref_primary_10_12688_f1000research_141110_2 crossref_primary_10_4103_ua_ua_11_23 crossref_primary_10_1016_j_jpurol_2024_02_029 crossref_primary_10_1016_j_jpurol_2023_02_025 crossref_primary_10_4236_ojped_2024_142019 crossref_primary_10_1016_j_jpurol_2024_07_004 crossref_primary_10_1556_650_2024_32957 crossref_primary_10_3389_fped_2024_1371028 crossref_primary_10_4103_ejs_ejs_147_23 |
| Cites_doi | 10.1111/j.1445-2197.1959.tb03826.x 10.21037/tp.2016.10.06 10.1016/j.jpurol.2013.08.005 10.1016/j.jpedsurg.2015.10.031 10.4103/0972-9941.118822 10.1007/s00383-015-3676-1 10.1007/s00383-013-3406-5 10.1016/j.juro.2009.02.134 10.1016/j.jpurol.2018.01.021 10.1007/s00268-009-0004-8 10.1089/lap.2007.0176 10.1016/S0022-5347(05)64343-1 10.1055/s-2008-1039028 10.1053/j.sempedsurg.2016.05.007 10.1007/BF00326700 10.1016/j.urology.2016.09.060 10.1016/j.juro.2013.04.056 10.1016/j.jpedsurg.2016.01.011 10.3389/fped.2014.00028 10.1046/j.1464-410X.2001.00127.x |
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| Snippet | Introduction: Several techniques have been described for laparoscopic orchidopexy in patients with intra-abdominal testes. We aimed to report our experience... Several techniques have been described for laparoscopic orchidopexy in patients with intra-abdominal testes. We aimed to report our experience with the staged... |
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| SubjectTerms | Abdomen Children Comparative analysis Laparoscopic surgery Laparoscopy Methods Original Surgery Testes |
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| Title | A comparative study between two techniques of laparoscopic orchiopexy for intra-abdominal testis |
| URI | http://www.indianjurol.com/article.asp?issn=0970-1591;year=2021;volume=37;issue=3;spage=261;epage=266;aulast=Bawazir;type=0 https://www.ncbi.nlm.nih.gov/pubmed/34465956 https://www.proquest.com/docview/2549092437 https://www.proquest.com/docview/2568255137 https://pubmed.ncbi.nlm.nih.gov/PMC8388342 https://doaj.org/article/871dae08b30d4db4ae709f27ed2358df |
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