Retrospective analysis of laparoscopic and open orchidopexy for non palpable intra-abdominal testes in a tertiary care centre

Abstract

Purpose: Patients with non-palpable testes has numerous treatment options, the most effective treatment is still controversial. Laparoscopy has nowadays gained the trust as the most reliable modality for the management of impalpable testis. The aim of our study was to retrospectively analyse the laparoscopic and open orchidopexy procedures and report the outcome of our series. Material and methods: 120 patients with 130 non palpable testes with a mean age of patients about 2.7 years who had undergone orchidopexy by open and laparoscopic methods over past 8 years. Results: Mean age of open group was similar to laparoscopic group (2.7 ± 1.7 vs 2.5 ± 1.5 years; p > 0.05). 10 patients (8.33%) presented with bilateral non palpable testes. 10 testes from the open group and 8 from the laparoscopic group were of vanishing variety. Fowler -Stephens staged procedure was done for 4 testes in laparoscopic group. The mean operative time was more in the laparoscopic group than the open (63min vs 47min). Laparoscopic orchidopexy group had generally lesser use of analgesics. The mean hospital stay between the open and laparoscopic groups was 2.1 vs 1.3 days (p <0.05). 12 cases of testicular atrophy were noted, 7 from the open group and 5 from the laparoscopic group. Conclusion: Results of open and laparoscopic orchidopexy procedures were fairly constant. Although, laparoscopy gives significantly less morbidity, is less painful, has lesser hospital stay and is cosmetically better.

Keywords

• cryptorchidism
• laparoscopy
• orchidopexy
• testis