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Updated: May 22, 2026
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Laparoscopic Oocyte Retrieval and Cryopreservation during Vaginoplasty for Treatment of Mayer-Rokitansky-Kuster-Hauser Syndrome
Published on: May 10, 2022
Totally laparoscopic approach for failed conventional orchiopexy.
Mario Riquelme1, Arturo Aranda, Mario Rodarte-Shade
1Department of Pediatric Surgery, Christus Muguerza Hospital, Monterrey, Nuevo Leon, Mexico. cima_riquelme@hotmail.com
Summary
Totally laparoscopic orchiopexy is a safe and effective treatment for recurrent cryptorchidism after failed open surgery. This minimally invasive approach offers excellent outcomes with no recurrence or testicular atrophy in follow-up.
Area of Science:
- Pediatric Surgery
- Urology
Background:
- Recurrent cryptorchidism affects 0.2-10% of patients post-orchiopexy, often requiring repeat open surgery.
- The totally laparoscopic approach is explored as an alternative to traditional open repeat orchiopexy.
Purpose of the Study:
- To evaluate the feasibility and outcomes of a totally laparoscopic approach for recurrent cryptorchidism following failed open orchiopexy.
Main Methods:
- A four-port laparoscopic technique was used in nine patients (11 testes).
- Procedures involved high dissection of spermatic vessels and vas deferens, opening the internal ring, and transcrotal testis retrieval.
Main Results:
- The procedure was successful in 10 out of 11 testes, with a mean operative time of 90 minutes.
- No perioperative complications were observed.
- Mean follow-up of 25 months showed no recurrence or testicular atrophy.
Conclusions:
- Totally laparoscopic orchiopexy allows extensive mobilization and careful dissection, proving feasible, safe, and successful for recurrent cryptorchidism.
- This minimally invasive technique offers advantages over repeat open surgery.
