Testicular Outcomes After Laparoscopic Staged Traction Versus Laparoscopic Two-Stage Fowler Stephen Orchiopexy for Intraabdominal Testis in Children: A Prospective Randomized Study | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2024, Issue 12, December 2024 | ||||
| DOI: 10.58675/2682-339X.2825 | ||||
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| Authors | ||||
| Noureldin Noureldin1; Mohamed Mohamed2; Abdallah khalif1 | ||||
| 1Pediatric Surgery, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt | ||||
| 2Pediatric Surgery, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||||
| Abstract | ||||
| Background: Cryptorchidism is a common disease in pediatric urology. The incidence of cryptorchidism in preterm infants ranged from 9.2 to 30%, while that in full-term infants ranged between 3.4-5.8% Objective: For the purpose of contrasting laparoscopic two-stage traction with laparoscopic staged traction Treatment of intraabdominal testis in children via Fowler Stephen orchiopexy: Procedure duration, length of hospital stay, and testicular results (size, vascular supply) Emergence of testicular atrophy or other postoperative problems Study design: Between January 3, 2023, and January 3, 2024, 40 patients with impalpable undescended testes who were hospitalized at Al-Azhar University Hospitals for orchidopexy participated in this prospective, randomized trial. Two groups were randomly assigned to patients: Laparoscopic two-stage Fowler-Stephens (F-S) procedure was performed on Group B, and laparoscopic staged traction was performed on Group A. Three months pass between the first and second stage in the Traction technique and six months in the F-S technique. Results: This study included 40 participants with 45 tests. Twenty patients had staged traction for their 23 testes. Twenty additional patients with 22 testicles underwent phased F-S. After six months, the F-S group's testicular size had decreased statistically significantly. Regarding testicular atrophy, postoperative hematoma, and postoperative infection, there is, however, no statistically significant difference between the two groups. When comparing the first and second-stage operating times in the Traction group to the F-S group, there was a substantial (P<0.001) increase in the former. Conclusion: Managing intra-abdominal testes can be accomplished safely and effectively with laparoscopic staged traction or laparoscopic two-stage Fowler-Stephens orchiopexy. While the traction has the advantage of not affecting testicular size and showed a trend towards lower rates of testicular atrophy, it had longer operative times than the F-S technique. | ||||
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