@article {8058, title = {Laparoscopic orchiopexy: short term outcomes. Experience of a single centre.}, journal = {Minerva Pediatr}, year = {2015}, month = {2015 Oct 27}, abstract = {

BACKGROUND: Increased infertility and smaller volume accompany undescended testis. Timing of orchiopexy is still a matter of debate. We evaluated the growth of nonpalpable testes after laparoscopic orchiopexy according to age at surgery, intraoperative findings and type of procedure.

METHODS: Forty-one boys undergoing laparoscopy for nonpalpable testes were retrospectively reviewed and divided into two groups, <= 18 months and > 18 months, according to their age at surgery.

RESULTS: At follow-up, 14 testes in the younger group had normal size, while 3 atrophied either after single (2) or two stage procedure (1). Similarly, in older boys 11 testes grew normally, while 5 atrophied after both procedures.

CONCLUSION: Most of the nonpalpable testes grew normally after laparoscopic orchiopexy and the postoperative volume seemed independent from the surgical strategy. Both techniques led to a few cases of testicular hypotrophy In our experience, the age at surgery did not affect the outcome in terms of testicular growth.

}, issn = {1827-1715}, author = {Pederiva, F and Guida, E and Codrich, D and Scarpa, M G and Olenik, D and Schleef, J} }