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Laparoscopic versus open orchiopexy in the management of peeping testis: A multi-institutional prospective randomized study
Ahmad A. Elderwy, MD1, Hamdan Al-Hazmi, MD2, Khalid Neel, MD2, Ahmad Abolyosr, MD3.
1ASSIUT UNIVERSITY HOSPITAL, ASSIUT, Egypt, 2King Khalid University Hospital, Riyadh, Saudi Arabia, 3QENA UNIVERSITY HOSPITAL, Qena, Egypt.

BACKGROUND:
Peeping testis is an inconsistently palpable/seen undescended testis that migrates back and forth at the internal inguinal ring. Both open and laparoscopic orchiopexy is effective for management of such peeping testis. Our aim is to evaluate the efficacy and safety of both approaches.
METHODS:
Between September 2007 and January 2012, 46 peeping inguinal testes were randomly treated with either open (25 cases) or laparoscopic (21 cases) orchiopexy procedures. Spermatic vessels were preserved for all cases. Operative details, post-operative morbidity and final testicular site and size were recorded.
RESULTS:
The median age of the patients was 2.5 years (range 0.5-12). Follow-up ranged from 1-5.5 years. Of these testes, 19 in the laparoscopy arm and 20 in the surgical arm maintain correct intrascrotal position (p=0.428). Re-do orchiopexy was indicated for 2 cases in the surgical arm (p=0.493). No case of testicular atrophy or hernia was encountered.
CONCLUSIONS:
Both open and laparoscopic orchiopexy procedures are fairly comparable. However, laparoscopy provides relatively less morbidity.


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