TITLE:
Laparoscopic Orchidopexy after 4 Weeks of Testicular Traction with Preservation of Blood Supply: A New Concept for the Treatment of Intra-Abdominal Cryptorchidism: Original Article
AUTHORS:
Ntsobe Tobie Eric, Haijin Liu, Nyanit Bob Dorcas, Wei Peng, Feng Chen, Ndikontar Raymond, Kouna Tsala Irene Nadine, Qian Liu
KEYWORDS:
Laparoscopy, Staged-Orchidopexy, Testicar Traction, Testicular Atrophy
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.14 No.2,
February
1,
2024
ABSTRACT: Background: Testicular atrophy is recurrent after orchidopexy
for intra-abdominal
cryptorchidism due to damage to vessels. Fowlers-Stephens and Shehata methods
proposed staged orchidopexy, but are still associated to a rate of atrophy
greater than 10%. Purpose: We set out to present a new technique that
preserves testicular vessels. Our study is aimed at investigating testicular
vitality after surgery. Patients and Method: We reviewed files of boys who underwent orchidopexy for 2 years in our
department. Those who have been operated for
intra-abdominal cryptorchidism with the new technique and aged between 6
months and 14 years old were included in our study. We excluded boys who have
been operated before 6 months and after 14 years old and those who did not
respect their follow-up plane. Ultrasound (US) outcomes were used to measure
testicular volumes and blood flow at each postoperative visit. The Sample
population was divided into group A and group B representing testes that were
followed respectively for 12 and 24 months. Results: 22 boys with 25 testes were included in our study; 11 testes in group A
and 14 testes in group B. In each group, we noted a significant difference of
UDT volumes from the third month after surgery with respective P-values 0.05. There
was no statistical difference between UDT and contra lateral testes
volumes 12 months after surgery in group A and 24 months in group B with
respective P-values of 0.07 and 0.72. All volume differential indexes were
Conclusion: This method offers a new perspective in performing safe orchidopexy for
intra abdominal undescended testes.