| Autor: |
Mostafa, Mohamed Saber, Shalaby, Mohamed Sameh, Woodward, Mark |
| Zdroj: |
Pediatric Surgery International; Dec2023, Vol. 39 Issue 1, p1-2, 2p |
| Abstrakt: |
Purpose: Testicular reascent is a recognised complication of orchidopexy, and redo surgery may be required. In this report, we present our experience of redo orchidopexy after initial laparoscopic surgery. Methods: Patients who had undergone redo orchidopexy following an initial vessel-sparing (VS) or non-vessel sparing (NVS) laparoscopic orchidopexy between 2005 and 2019 were identified. Outcome data, including complications and testicular size, were recorded. Results: The series comprised 23 patients (5: initial bilateral surgery with reascent on one side only; 18: unilateral surgery) with a mean age at original surgery of 3.5 years (range 8 months–6 years) and at redo surgery, 4 years (range 1.5–7 years). VS surgery had been undertaken in 15 and NVS in 8. A tension-free scrotal position was achieved in all cases. There were no complications and no patient required orchidectomy. At a minimum of 6-month follow-up after redo surgery, there were no cases of reascent and there was no change in testicular size/volume (based on clinical examination). Conclusion: Redo orchidopexy is an effective treatment following failed laparoscopic orchidopexy and a scrotal testis can be achieved in all cases. Complete testicular atrophy did not occur, but the risk of partial atrophy could not be accurately quantified. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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