COMPARATIVE STUDY OF LAPAROSCOPIC VERSUS OPEN ORCHIDOPEXY FOR UNDESCENDED TESTIS

*Dr. Puneet Shrivastava, Dr. Richa Jaiman, Dr. Abhishek Nigam, Dr. Surendra Pathak and Dr. Shivam Sharma

ABSTRACT

Background: The undescended testes (cryptorchidism) is one of the most common disorders of childhood, affecting 0.8–1.8% of infants at 1 year of age, 3% of full-term new-borns and 21% of premature babies1,2. Approximately 20% of these cases represent non-palpable testes (NPT) that can be abdominal (normal or dysgenetic and high or low), intracanalicular, ectopic or absent (true monorchia or vanishing testis)1. Thus, early diagnosis and treatment of undescended testis are needed to preserve fertility and to prevent testicular malignancy. Objective: To prove that laparoscopic orchidopexy is more effective for diagnosis and treatment of undescended testis in comparison to open procedure. Material & Method: This study included 40 cases of undescended testis that were admitted and treated in the Department of General Surgery, S.N. Medical College, Agra. The study period was from August 2019 to August 2021. Conclusion: Results of our study revealed that the laparoscopic orchidopexy better than open orchidopexy in terms of Postoperative pain, Mean time to resume bowel sound, Duration of hospital stay, Scrotal edema, wound infection, Testicular site and Testicular atrophy.

Keywords: Laparoscopic orchidopexy, cryptorchidism, open orchidopexy.