Table 26Laparoscopic versus open surgical repair approaches

Study
N
Design
Quality
Nonpalpable/PalpableGroups (N)Outcomes
Escarcega-Fujigaki et al. 201136 *
N = 66
Prospective cohort
Fair
PalpableLaparoscopic orchiopexy (38 testicles)
  • Laparoscopy caused less pain (“in 80% of cases”).
  • No differences in testicular position post-operatively.
Open orchiopexy (37 testicles)
Abolyosr 200631 *
N = 75
RCT
Poor
NonpalpableHigh abdominal testicle
G1: Laparoscopic FSI followed by open FSII (20)
G2: Laparoscopic FSI followed by laparoscopic FSII (21)
  • Participants undergoing laparoscopic FSII had significantly shorter return to normal activity compared to open FSII (8.4 vs. 25 days, p<0.001).
  • While all patients in both groups had satisfactory scrotal position post-operatively, 0/21 in the laparoscopic FSII group had testicular atrophy compared to 2/20 in the open FSII group
Low abdominal and “peeping” testicle
G1: Laparoscopic primary orchiopexy (18)
G2: Open primary orchiopexy (16)
  • Participants undergoing laparoscopic orchiopexy had significantly shorter return to normal activity compared to open orchiopexy (9 vs. 28 days, p<0.001).
  • While all patients in both groups had satisfactory scrotal position post-operatively, 0/18 in the laparoscopic orchiopexy group had testicular atrophy compared to 3/16 in the open orchiopexy group
Lintula et al.200849 *
N = 33
Retrospective cohort
Poor
NonpalpableLaparoscopic orchiopexy (primary and FS) (16)
  • No significant differences were noted in post-operative testicular position, size, complications or reoperation rates were noted between the two groups.
Open primary orchiopexy (16)

FS = Fowler Stephens; N = number; RCT = randomized controlled trial

*

Controlled for location.

From: Results

Cover of Evaluation and Treatment of Cryptorchidism
Evaluation and Treatment of Cryptorchidism [Internet].
Comparative Effectiveness Reviews, No. 88.
Penson DF, Krishnaswami S, Jules A, et al.

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