Second - Stage Laparoscopic Traction Orchiopexy: Does Surgical Timing Make A Difference? | ||
| Minia Journal of Medical Research | ||
| Articles in Press, Accepted Manuscript, Available Online from 27 July 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjmr.2025.404903.2037 | ||
| Authors | ||
| Mohamed Mahmoud Mamdouh Khedre1; Alaa A. Moustafa2; Mohamed kamal mohamed* 3; Khalaf Yassen Fathy4 | ||
| 1Pediatric surgery, faculty of medicine, Minia university | ||
| 2General Surgery, Faculty Of medicine, Minia University | ||
| 3pediatric surgery unit minia university hospital , Minia, Egypt . | ||
| 4Department of Pediatric Surgery, Faculty of medicine, Minia University | ||
| Abstract | ||
| Background: Laparoscopic traction orchiopexy is a standard approach for managing high intraabdominal testes. However, the ideal timing for the second-stage procedure remains debatable. Objective: To determine the optimal interval between stages of laparoscopic traction orchiopexy by comparing surgical difficulty, complication rates, and testicular outcomes. Methods: Twenty patients with intraabdominal testes were randomly allocated into two groups based on the interval before the second stage: 3 months (Group A) and 6 months (Group B). Intraoperative parameters, postoperative complications, and testicular outcomes were analyzed and compared. Results: Testicular viability was 100% in all groups, with no cases of atrophy. Operative time differed significantly across groups (p < 0.001), and the incidence of adhesions was highest in Group B (30%, p = 0.21). No significant differences were observed in postoperative testicular volume or position. Conclusion: Performing the second stage at 3 months post-traction offers the best balance between surgical ease and favorable outcomes. Delaying beyond this interval does not improve testicular health and may increase operative difficulty. | ||
| Keywords | ||
| aparoscopic traction orchiopexy; Intraabdominal testes; Surgical timing | ||
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