%0 Journal Article
%T Laparoscopic Orchidopexy after 4 Weeks of Testicular Traction with Preservation of Blood Supply: A New Concept for the Treatment of Intra-Abdominal Cryptorchidism: Original Article
%A Ntsobe Tobie Eric
%A Haijin Liu
%A Nyanit Bob Dorcas
%A Wei Peng
%A Feng Chen
%A Ndikontar Raymond
%A Kouna Tsala Irene Nadine
%A Qian Liu
%J Open Journal of Pediatrics
%P 205-217
%@ 2160-8776
%D 2024
%I Scientific Research Publishing
%R 10.4236/ojped.2024.142019
%X <strong>Background:</strong><span><b><span style=\"font-family:&quot;\"> </span></b></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">Testicular atrophy is recurrent after orchidopexy
for in</span></span><span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\">tra-abdominal
cryptorchidism due to damage to vessels. Fowlers-Stephens and Shehata methods
proposed staged orchidopexy, but are still associated to a rate of atrophy
greater than 10%. </span><b><span style=\"font-family:Verdana;\">Purpose: </span></b><span style=\"font-family:Verdana;\">We set out to present a new technique that
preserves testicular vessels. Our study is aimed at investigating testicular
vitality after surgery. </span><b><span style=\"font-family:Verdana;\">Patients and Method:</span></b></span></span><span><b><span style=\"font-family:&quot;\"> </span></b></span><span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\">We reviewed files of boys who underwent orchidopexy for 2 years in our
department. Those who have been op</span><span style=\"font-family:Verdana;\">erated for
intra-abdominal cryptorchidism with the new technique an</span><span style=\"font-family:Verdana;\">d aged between 6
months and 14 years old were included in our study. We excluded boys who have
been operated before 6 months and after 14 years old and those who did not
respect their follow-up plane. Ultrasound (US) outcomes were used to measure
testicular volumes and blood flow at each postoperative visit. The Sample
population was divided into group A and group B representing testes that were
followed respectively for 12 and 24 months. </span><b><span style=\"font-family:Verdana;\">Results:</span></b></span></span><span><b><span style=\"font-family:&quot;\"> </span></b></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">22 boys with 25 testes were included in our study; 11 testes in group A
and 14 testes in group B. In each group, we noted a significant difference of
UDT volumes from the third month after surgery with respective P-values</span></span><span><span style=\"font-family:&quot;\"> </span></span><span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\">&lt; </span><span style=\"font-family:Verdana;\">0.05. There
was no statistical difference between UDT and contra lateral</span><span style=\"font-family:Verdana;\"> testes
volumes 12 months after surgery in group A and 24 months in group B with
respective P-values of 0.07 and 0.72. All volume differential indexes were
&lt;27%
%K Laparoscopy
%K Staged-Orchidopexy
%K Testicar Traction
%K Testicular Atrophy
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=130998