To compare single stage laparoscopic orchiopexy (SSLO) and staged Fowler-Stephens (SFS) procedures in the management of intra-abdominal undescended testes, and analyze post-operative atrophy and mal-positioning as endpoints.
A retrospective chart review identified laparoscopic orchiopexy patients with intra-abdominal testes between November 2006 and November 2014. Of 167 patients that had laparoscopic orchiopexy, data for 73 patients (85 testes) were identified to have laparoscopic orchiopexy. Baseline characteristics, as well as testicular scrotal position and size at follow-up were recorded. Regression analysis was performed to compare outcomes between patients who underwent SFS and SSLO.
Of the 85 laparoscopic orchiopexies, 35 were SFS and 50 were SSLO. Patient demographics were comparable in both groups. The median age at surgery was 12 months (5-151 months) and the average follow-up was 17.3 months. On follow-up SFS patients had zero recorded cases of abnormally positioned testes post-operatively, while 10 (20.0%) SSLO patients had abnormal position (odds ratio (OR): 0.05, 95% CI 0.01-0.44). Differences in atrophy rates were not significant.
These results suggest that there may be no difference between the two approaches in terms of post-operative atrophy. However, the SFS appears to be more successful in securing a favorable scrotal position. Atrophy does not seem to be associated with other patient factors. Prospective, randomized studies are indicated to further explore outcomes differences between approaches.
This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 17 December 2016.
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#7,714,912
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#106,212
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#50
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Altmetric has tracked 25,374,917 research outputs across all sources so far. This one has received more attention than most of these and is in the 69th percentile.
So far Altmetric has tracked 7,811 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.5. This one has gotten more attention than average, scoring higher than 65% of its peers.
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We're also able to compare this research output to 196 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 74% of its contemporaries.
