Second - Stage Laparoscopic Traction Orchiopexy: Does Surgical Timing Make A Difference?

Khedre, Mohamed Mahmoud Mamdouh; Moustafa, Alaa A.; Mohamed, Mohamed Kamal; Fathy, Khalaf Yassen

doi:10.21608/mjmr.2025.404903.2037

Second - Stage Laparoscopic Traction Orchiopexy: Does Surgical Timing Make A Difference?

Articles in Press

Document Type : Original Article

Authors

¹ Pediatric surgery, faculty of medicine, Minia university

² General Surgery, Faculty Of medicine, Minia University

³ pediatric surgery unit minia university hospital , Minia, Egypt .

⁴ Department of Pediatric Surgery, Faculty of medicine, Minia University

10.21608/mjmr.2025.404903.2037

Abstract

Background: Laparoscopic traction orchiopexy is a standard approach for managing high intraabdominal testes. However, the ideal timing for the second-stage procedure remains debatable.

Objective: To determine the optimal interval between stages of laparoscopic traction orchiopexy by comparing surgical difficulty, complication rates, and testicular outcomes.

Methods: Twenty patients with intraabdominal testes were randomly allocated into two groups based on the interval before the second stage: 3 months (Group A) and 6 months (Group B).

Intraoperative parameters, postoperative complications, and testicular outcomes were analyzed and compared.

Results: Testicular viability was 100% in all groups, with no cases of atrophy. Operative time differed significantly across groups (p < 0.001), and the incidence of adhesions was highest in Group B (30%, p = 0.21). No significant differences were observed in postoperative testicular volume or position.

Conclusion: Performing the second stage at 3 months post-traction offers the best balance between surgical ease and favorable outcomes. Delaying beyond this interval does not improve testicular health and may increase operative difficulty.

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