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Hamidi N, Telli O, Bagci U, et al. Outcomes of Laparoscopic Treatment Modalities for Unilateral Non-palpable Testes. Front Pediatr. 2016;4:13doi: 10.3389/fped.2016.00013.
Hamidi, N., Telli, O., Bagci, U., Esen, B., Karagoz, M. A., Hascicek, A. M., Soygur, T., & Burgu, B. (2016). Outcomes of Laparoscopic Treatment Modalities for Unilateral Non-palpable Testes. Frontiers in pediatrics, 413. https://doi.org/10.3389/fped.2016.00013
Hamidi, Nurullah, et al. "Outcomes of Laparoscopic Treatment Modalities for Unilateral Non-palpable Testes." Frontiers in pediatrics vol. 4 (2016): 13. doi: https://doi.org/10.3389/fped.2016.00013
Hamidi N, Telli O, Bagci U, Esen B, Karagoz MA, Hascicek AM, Soygur T, Burgu B. Outcomes of Laparoscopic Treatment Modalities for Unilateral Non-palpable Testes. Front Pediatr. 2016 Mar 04;4:13. doi: 10.3389/fped.2016.00013. eCollection 2016. PMID: 26973822; PMCID: PMC4778551.
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Front Pediatr. 2016 Mar 04;4:13. doi: 10.3389/fped.2016.00013. eCollection 2016.

Outcomes of Laparoscopic Treatment Modalities for Unilateral Non-palpable Testes.

Frontiers in pediatrics

Nurullah Hamidi, Onur Telli, Uygar Bagci, Baris Esen, Mehmet Ali Karagoz, Ahmet Metin Hascicek, Tarkan Soygur, Berk Burgu

Affiliations

  1. Department of Urology, Ankara University School of Medicine , Ankara , Turkey.
  2. Department of Pediatric Urology, Ankara University School of Medicine , Ankara , Turkey.
  3. Department of Urology, Ankara Training and Research Hospital , Ankara , Turkey.

PMID: 26973822 PMCID: PMC4778551 DOI: 10.3389/fped.2016.00013

Abstract

PURPOSE: To date, laparoscopy has gradually become the gold standard for treatment of non-palpable testicles (NPT) with different success and complication rates. In this study, we aimed to evaluate outcomes of laparoscopic approaches for NPT.

MATERIALS AND METHODS: We reviewed data of 82 consecutive patients who underwent laparoscopic treatment for unilateral NPT at two institutions by two high volume surgeons from 2004 January to 2014 December. Laparoscopic-assisted orchidopexy (LAO) and two-stage Fowler-Stephens technique (FST) was performed for 45 and 37 patients, respectively. Age (at surgery), follow-up time, laterality of testes, and postoperative complications were analyzed. Modified Clavien classification system (MCCS) was used for evaluating complications.

RESULTS: The median age (at surgery) and median follow-up time were 18 (range: 6-56) and 60 (range: 9-130) months, respectively. Overall success rate for two laparoscopy techniques was 87.8% during the maximal follow-up time. We observed wound infection in two, hematoma in one, testicular atrophy in five, testicular re-ascending in two patients at follow-up period. There was no statistical difference between two laparoscopic techniques for grade I (five vs. two patients, p = 0.14) and grade IIIb MCCS complications (five vs. two patients, p = 0.44).

CONCLUSION: Our results have shown that two laparoscopic approaches have low complication rates.

Keywords: Clavien; Fowler–Stephens orchiopexy; complication; laparoscopy; non-palpable testis

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