Abstract
Background: Laparoscopic orchiopexy (LO) has become a standard procedure for the treatment of nonpalpable undescended testes (UDT). LO for palpable UDT is still controversial. The aim of this study is to explore the method and effect of LO procedure for palpable UDT in children suffering from cryptorchidism. Methods: A retrospective study was performed for LO and traditional inguinal incision orchiopexy (TIO) for palpable UDT. A total of 291 children were enrolled, and they were aged 9-96 months with either left- or right-side palpable inguinal canalicular testes. Patients with testes that were nonpalpable, ectopic, and retractable were excluded. One hundred seventy patients received LO and 121 patients received TIO. Patient age, operative time, and clinical outcomes were reviewed. Independent t-test and Fisher's exact test were performed by SPSS 25.0 software. Results: The mean operative time (30.77 ± 6.02 minutes versus 44.76 ± 6.70 minutes) and postoperative normal activity time (1.25 ± 0.43 days versus 2.48 ± 0.68 days) of LO were significantly shorter than those of TIO group (P < .05). Forty-seven of 49 cases (95.9%) aged <1 year successfully achieved LO. Conclusion: LO is an appropriate choice for palpable UDT, especially in younger children aged <2 years. The success rate of LO decreased with age.
Highlights
Laparoscopic orchidopexy (LO) has become a standard procedure for the treatment of nonpalpable undescended testes
A retrospective study was performed for LO and traditional inguinal incision orchidopexy(TIIO) for palpable undescended testes
LO is an appropriate choice for palpable undescended testes, especially in younger children within one-year-old
Summary
Laparoscopic orchidopexy (LO) has become a standard procedure for the treatment of nonpalpable undescended testes. The aim of this study is to explore the method and effect of laparoscopic orchiopexy procedure for palpable undescended testes in children suffering from cryptorchidism. Cryptorchidism or undescended testes are a common genital malformation in boys. The incidence of undescended testes of birth to premature and/or birth weight (< 2500 g) infants varies from 1.1–45.3% and bilateral presentation was 50–75% [2]. Laparoscopic orchidopexy (LO) is a standard procedure for the treatment of nonpalpable undescended testes [4]. LO for palpable undescended testes is still controversial. This study has compared LO with TIIO in children with palpable undescended testes
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
