Outcome of redo orchidopexy after previous laparoscopic orchidopexy
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In brief
In brief
This retrospective study of 23 patients demonstrates that redo orchidopexy successfully achieves scrotal positioning in all cases following failed laparoscopic orchidopexy, with no reascent at 6-month follow-up. Both vessel-sparing and non-vessel sparing approaches were included, with no complications or complete testicular atrophy observed.
Written by the GCMD Library team from the article.
Abstract
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.