Surgical exploration for impalpable testis: Which should be first, inguinal exploration or laparoscopic abdominal exploration?

Retrospective study of 72 impalpable testes in 68 pediatric patients comparing inguinal-first versus laparoscopic-first exploration strategies. Results showed 39% of testes located extra-abdominally via inguinal approach, with only 5.6% requiring laparoscopic Fowler-Stephens orchidopexy for high abdominal testes, supporting inguinal exploration as initial approach.