Outcomes of Redo Orchiopexy in Children

Abstract

Objective:This study aims to evaluate outcomes of redo orchiopexy and the effect of redo surgery timing upon testicular volume.Materials and Methods:This prospective study involved children receiving redo orchiopexy for recurrent undescended testis. Patients were recruited to assess testicular position, volume, blood flow and presence of microlithiasis. Testis volume was measured by ultrasound and compared with recently developed normative values for testicular size.Results:A total of 38 patients (40 testes) required redo orchiopexy were reviewed in the study. Thirty three of invited boys could be investigated as long term participation. As a result of long term follow up; 28 of the testes were at scrotum, 2 of them were at inguinal canal and 3 of them were non-palpable, with a 15% failure rate of redo orchiopexy. For all patients evaluated in the control visit mean testis volume was 1.23 mL, at 24 of whom were significantly smaller than the normative values for the same age (p<0.001). Eleven of the testes (33.3%) had microlithiasis. The average of duration between primary and redo orchiopexy was 13.5 months in the group of normal volume testes, 23.3 months in the group of significantly smaller testes (p=0.056).Conclusion:The long-term volumes of testes after redo orchiopexy were significantly less than the normative values. Frequent and long time follow up of operated undescended testes and early intervention of recurrent cases may improve outcomes of surgery.

Keywords

• orchiopexy
• children
• testes