Second - Stage Laparoscopic Traction Orchiopexy: Does Surgical Timing Make A Difference?
Khedre, M., Moustafa, A., mohamed, M., Fathy, K. (2025). Second - Stage Laparoscopic Traction Orchiopexy: Does Surgical Timing Make A Difference?. EKB Journal Management System, (), -. doi: 10.21608/mjmr.2025.404903.2037
Mohamed Mahmoud Mamdouh Khedre; Alaa A. Moustafa; Mohamed kamal mohamed; Khalaf Yassen Fathy. "Second - Stage Laparoscopic Traction Orchiopexy: Does Surgical Timing Make A Difference?". EKB Journal Management System, , , 2025, -. doi: 10.21608/mjmr.2025.404903.2037
Khedre, M., Moustafa, A., mohamed, M., Fathy, K. (2025). 'Second - Stage Laparoscopic Traction Orchiopexy: Does Surgical Timing Make A Difference?', EKB Journal Management System, (), pp. -. doi: 10.21608/mjmr.2025.404903.2037
Khedre, M., Moustafa, A., mohamed, M., Fathy, K. Second - Stage Laparoscopic Traction Orchiopexy: Does Surgical Timing Make A Difference?. EKB Journal Management System, 2025; (): -. doi: 10.21608/mjmr.2025.404903.2037

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  XML
Document Type: Original Article
DOI: 10.21608/mjmr.2025.404903.2037
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Authors
Mohamed Mahmoud Mamdouh Khedre1; Alaa A. Moustafaorcid 2; Mohamed kamal mohamed email 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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