Cargando…

Open Versus Laparoscopic Gubernaculum-Sparing Second-Stage Fowler–Stephens Orchiopexy for Intra-Abdominal Testis: A Long-Term Study

BACKGROUND: The benefits of performing open versus laparoscopic gubernaculum-sparing second-stage Fowler–Stephens orchiopexy (FSO) remain unclear. We compared the two techniques to answer this question. METHODS: We retrospectively studied a cohort of patients who underwent laparoscopic first-stage F...

Descripción completa

Detalles Bibliográficos
Autores principales: Zhou, Guanglun, Chen, Jinjun, Yin, Jianchun, Liu, Xiaodong, Su, Jiahong, Li, Shoulin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mary Ann Liebert, Inc., publishers 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9416541/
https://www.ncbi.nlm.nih.gov/pubmed/35442805
http://dx.doi.org/10.1089/lap.2021.0843
_version_ 1784776505228787712
author Zhou, Guanglun
Chen, Jinjun
Yin, Jianchun
Liu, Xiaodong
Su, Jiahong
Li, Shoulin
author_facet Zhou, Guanglun
Chen, Jinjun
Yin, Jianchun
Liu, Xiaodong
Su, Jiahong
Li, Shoulin
author_sort Zhou, Guanglun
collection PubMed
description BACKGROUND: The benefits of performing open versus laparoscopic gubernaculum-sparing second-stage Fowler–Stephens orchiopexy (FSO) remain unclear. We compared the two techniques to answer this question. METHODS: We retrospectively studied a cohort of patients who underwent laparoscopic first-stage FSO and open versus laparoscopic gubernaculum-sparing second-stage FSO at our institution between September 2004 and June 2020 (all patients underwent surgery by a single surgeon). We evaluated both procedures based on the incidence of testicular atrophy, testicular ascent, and other complications. RESULTS: The age at initial surgery was 45.7 ± 28.2 months (median, 39). One hundred nine cases were treated with open second-stage gubernaculum-sparing FSO (OFSO), and 96 cases were treated with laparoscopic second-stage gubernaculum-sparing FSO (LFSO). The mean follow-up period was 59.8 months (median, 54; standard deviation, +35). The overall testicular atrophy rate was 1.5%. Atrophy was observed in 2 and 1 patient in the OFSO and LFSO groups, respectively (1.8% versus 1.0%, P > .05). There was no significant difference in the incidence of testicular ascent between both groups (2.8% versus 3.1%). Five and four complications were noted in the OFSO and LFSO groups, respectively (P > .05). CONCLUSIONS: Second-stage gubernaculum-sparing FSO achieved high testicular survival rates and satisfactory testicular positions. Neither the open nor laparoscopic approach appeared superior, because the overall testicular survival rates and incidence of testicular ascent and other complications were equivalent between both groups.
format Online
Article
Text
id pubmed-9416541
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Mary Ann Liebert, Inc., publishers
record_format MEDLINE/PubMed
spelling pubmed-94165412022-08-30 Open Versus Laparoscopic Gubernaculum-Sparing Second-Stage Fowler–Stephens Orchiopexy for Intra-Abdominal Testis: A Long-Term Study Zhou, Guanglun Chen, Jinjun Yin, Jianchun Liu, Xiaodong Su, Jiahong Li, Shoulin J Laparoendosc Adv Surg Tech A Full Reports BACKGROUND: The benefits of performing open versus laparoscopic gubernaculum-sparing second-stage Fowler–Stephens orchiopexy (FSO) remain unclear. We compared the two techniques to answer this question. METHODS: We retrospectively studied a cohort of patients who underwent laparoscopic first-stage FSO and open versus laparoscopic gubernaculum-sparing second-stage FSO at our institution between September 2004 and June 2020 (all patients underwent surgery by a single surgeon). We evaluated both procedures based on the incidence of testicular atrophy, testicular ascent, and other complications. RESULTS: The age at initial surgery was 45.7 ± 28.2 months (median, 39). One hundred nine cases were treated with open second-stage gubernaculum-sparing FSO (OFSO), and 96 cases were treated with laparoscopic second-stage gubernaculum-sparing FSO (LFSO). The mean follow-up period was 59.8 months (median, 54; standard deviation, +35). The overall testicular atrophy rate was 1.5%. Atrophy was observed in 2 and 1 patient in the OFSO and LFSO groups, respectively (1.8% versus 1.0%, P > .05). There was no significant difference in the incidence of testicular ascent between both groups (2.8% versus 3.1%). Five and four complications were noted in the OFSO and LFSO groups, respectively (P > .05). CONCLUSIONS: Second-stage gubernaculum-sparing FSO achieved high testicular survival rates and satisfactory testicular positions. Neither the open nor laparoscopic approach appeared superior, because the overall testicular survival rates and incidence of testicular ascent and other complications were equivalent between both groups. Mary Ann Liebert, Inc., publishers 2022-08-01 2022-08-03 /pmc/articles/PMC9416541/ /pubmed/35442805 http://dx.doi.org/10.1089/lap.2021.0843 Text en © Guanglun Zhou et al. 2022; Published by Mary Ann Liebert, Inc. https://creativecommons.org/licenses/by-nc/4.0/This Open Access article is distributed under the terms of the Creative Commons Attribution Noncommercial License [CC-BY-NC] (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits any noncommercial use, distribution, and reproduction in any medium, provided the original authors and the source are cited.
spellingShingle Full Reports
Zhou, Guanglun
Chen, Jinjun
Yin, Jianchun
Liu, Xiaodong
Su, Jiahong
Li, Shoulin
Open Versus Laparoscopic Gubernaculum-Sparing Second-Stage Fowler–Stephens Orchiopexy for Intra-Abdominal Testis: A Long-Term Study
title Open Versus Laparoscopic Gubernaculum-Sparing Second-Stage Fowler–Stephens Orchiopexy for Intra-Abdominal Testis: A Long-Term Study
title_full Open Versus Laparoscopic Gubernaculum-Sparing Second-Stage Fowler–Stephens Orchiopexy for Intra-Abdominal Testis: A Long-Term Study
title_fullStr Open Versus Laparoscopic Gubernaculum-Sparing Second-Stage Fowler–Stephens Orchiopexy for Intra-Abdominal Testis: A Long-Term Study
title_full_unstemmed Open Versus Laparoscopic Gubernaculum-Sparing Second-Stage Fowler–Stephens Orchiopexy for Intra-Abdominal Testis: A Long-Term Study
title_short Open Versus Laparoscopic Gubernaculum-Sparing Second-Stage Fowler–Stephens Orchiopexy for Intra-Abdominal Testis: A Long-Term Study
title_sort open versus laparoscopic gubernaculum-sparing second-stage fowler–stephens orchiopexy for intra-abdominal testis: a long-term study
topic Full Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9416541/
https://www.ncbi.nlm.nih.gov/pubmed/35442805
http://dx.doi.org/10.1089/lap.2021.0843
work_keys_str_mv AT zhouguanglun openversuslaparoscopicgubernaculumsparingsecondstagefowlerstephensorchiopexyforintraabdominaltestisalongtermstudy
AT chenjinjun openversuslaparoscopicgubernaculumsparingsecondstagefowlerstephensorchiopexyforintraabdominaltestisalongtermstudy
AT yinjianchun openversuslaparoscopicgubernaculumsparingsecondstagefowlerstephensorchiopexyforintraabdominaltestisalongtermstudy
AT liuxiaodong openversuslaparoscopicgubernaculumsparingsecondstagefowlerstephensorchiopexyforintraabdominaltestisalongtermstudy
AT sujiahong openversuslaparoscopicgubernaculumsparingsecondstagefowlerstephensorchiopexyforintraabdominaltestisalongtermstudy
AT lishoulin openversuslaparoscopicgubernaculumsparingsecondstagefowlerstephensorchiopexyforintraabdominaltestisalongtermstudy