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Laparoscopic orchiopexy for palpable undescended testes: a five-year experience
Mario Riquelme1, Arturo Aranda, Carlos Rodriguez
1Department of General Surgery, Christus Muguerza Hospital, Monterrey, NL, Mexico.
Summary
Laparoscopic orchiopexy is a safe and effective treatment for palpable undescended testes. This minimally invasive technique offers advantages over open surgery with comparable complication rates.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Urology
Background:
- Laparoscopic orchiopexy is typically reported for nonpalpable testes.
- This study investigates its application in palpable undescended testes.
Purpose of the Study:
- To evaluate the efficacy and safety of laparoscopic orchiopexy for palpable undescended testes.
- To compare outcomes with open surgical procedures.
Main Methods:
- A 4-port laparoscopic technique was used for 28 patients (30 testes) with palpable undescended testes.
- Exclusion criteria included nonpalpable, retractile, or vanishing testes.
Main Results:
- Mean operative time was 50 minutes with a 13.3% complication rate, primarily during the initial learning curve.
- Successful descent was achieved in all cases, with 16.6% being peeping testes.
- Follow-up showed good testicular size and position with no recurrent hernias.
Conclusions:
- Laparoscopic orchiopexy is a safe and effective method for descending palpable undescended testes.
- It offers advantages of minimally invasive surgery with complication rates comparable to open procedures.