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A Journal on Pediatrics, Neonatology, Adolescent Medicine,
Child and Adolescent Psychiatry

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Minerva Pediatrica 2016 August;68(4):278-81

language: English

Laparoscopic orchiopexy: short-term outcomes. Experience of a single centre

Federica PEDERIVA, Edoardo GUIDA, Daniela CODRICH, Maria G. SCARPA, Damiana OLENIK, Jurgen SCHLEEF

Pediatric Surgery, Institute for Maternal and Child Health - IRCCS “Burlo Garofolo”, Trieste, Italy


BACKGROUND: Increased infertility and smaller volume accompany undescended testis. Timing of orchiopexy is still a matter of debate. We evaluated the growth of non-palpable testes after laparoscopic orchiopexy according to age at surgery, intraoperative findings and type of procedure.
METHODS: Forty-one boys undergoing laparoscopy for nonpalpable testes were retrospectively reviewed and divided into two groups, ≤18 months and >18 months, according to their age at surgery.
RESULTS: At follow-up, 14 testes in the younger group had normal size, while 3 atrophied either after single (2) or two stage procedure (1). Similarly, in older boys 11 testes grew normally, while 5 atrophied after both procedures.
CONCLUSIONS: Most of the non-palpable testes grew normally after laparoscopic orchiopexy and the postoperative volume seemed independent from the surgical strategy. Both techniques led to a few cases of testicular hypotrophy. In our experience, the age at surgery did not affect the outcome in terms of testicular growth.

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