Laparoscopic assisted trans-scrotal orchiopexy versus traditional orchiopexy for inguinal cryptorchidism: a retrospective study based on 154 patients

Abstract Background The purpose of this study was to investigate the clinical effect of laparoscopic assisted trans-scrotal orchiopexy versus traditional orchiopexy for inguinal cryptorchidism. Methods A retrospective analysis of cryptorchidism patients who were admitted to our hospital from July 20...

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Main Authors: Qiang Guo, Yifei Zhang, Huajian Lai, WenWen Zhong, Jianguang Qiu, Dejuan Wang
Format: Article
Language:English
Published: BMC 2023-05-01
Series:BMC Urology
Subjects:
Online Access:https://doi.org/10.1186/s12894-023-01244-3
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author Qiang Guo
Yifei Zhang
Huajian Lai
WenWen Zhong
Jianguang Qiu
Dejuan Wang
author_facet Qiang Guo
Yifei Zhang
Huajian Lai
WenWen Zhong
Jianguang Qiu
Dejuan Wang
author_sort Qiang Guo
collection DOAJ
description Abstract Background The purpose of this study was to investigate the clinical effect of laparoscopic assisted trans-scrotal orchiopexy versus traditional orchiopexy for inguinal cryptorchidism. Methods A retrospective analysis of cryptorchidism patients who were admitted to our hospital from July 2018 to July 2021. The patients were divided into the laparoscopic assisted trans-scrotal surgery group (n = 76) and the traditional surgery group (n = 78) according to the surgical method. Results All patients were successfully operated. There was no significant difference in operation time between the laparoscopic assisted trans-scrotal group and the traditional group (P>0.05). Although there was no significant difference in the postoperative hospital stay between the two groups, the time of postoperative hospital stay of the laparoscopic assisted trans-scrotal surgery group was lower than that in the traditional surgery group (P = 0.062). Additionally, there was no significant difference in discharge rate on the first day after surgery between the two groups, but the discharge rate on the first day after surgery was more than 90% in both groups. In terms of postoperative complications, there were no cases of testicular retraction, testicular atrophy, inguinal hernia, or hydrocele that occurred in both groups. There was no significant difference in the incidence of scrotal hematoma between the two groups(P>0.05). Although there was no significant difference in the incidence of poor wound healing between the two groups(P>0.05), the incidence in the laparoscopic assisted trans-scrotal surgery group was lower than that in the traditional surgery group (2.6% vs. 6.4%). Conclusion Laparoscopic assisted trans-scrotal surgery is as safe and effective method as traditional surgery for patients with inguinal cryptorchidism, and could also provide a good appearance.
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spelling doaj.art-fd997a0107864f18b0aa95d5ed73f2ae2023-05-07T11:25:16ZengBMCBMC Urology1471-24902023-05-012311410.1186/s12894-023-01244-3Laparoscopic assisted trans-scrotal orchiopexy versus traditional orchiopexy for inguinal cryptorchidism: a retrospective study based on 154 patientsQiang Guo0Yifei Zhang1Huajian Lai2WenWen Zhong3Jianguang Qiu4Dejuan Wang5Department of Urology, The Sixth Affiliated Hospital, Sun Yat-sen UniversityDepartment of Urology, The Sixth Affiliated Hospital, Sun Yat-sen UniversityDepartment of Urology, The Sixth Affiliated Hospital, Sun Yat-sen UniversityDepartment of Urology, The Sixth Affiliated Hospital, Sun Yat-sen UniversityDepartment of Urology, The Sixth Affiliated Hospital, Sun Yat-sen UniversityDepartment of Urology, The Sixth Affiliated Hospital, Sun Yat-sen UniversityAbstract Background The purpose of this study was to investigate the clinical effect of laparoscopic assisted trans-scrotal orchiopexy versus traditional orchiopexy for inguinal cryptorchidism. Methods A retrospective analysis of cryptorchidism patients who were admitted to our hospital from July 2018 to July 2021. The patients were divided into the laparoscopic assisted trans-scrotal surgery group (n = 76) and the traditional surgery group (n = 78) according to the surgical method. Results All patients were successfully operated. There was no significant difference in operation time between the laparoscopic assisted trans-scrotal group and the traditional group (P>0.05). Although there was no significant difference in the postoperative hospital stay between the two groups, the time of postoperative hospital stay of the laparoscopic assisted trans-scrotal surgery group was lower than that in the traditional surgery group (P = 0.062). Additionally, there was no significant difference in discharge rate on the first day after surgery between the two groups, but the discharge rate on the first day after surgery was more than 90% in both groups. In terms of postoperative complications, there were no cases of testicular retraction, testicular atrophy, inguinal hernia, or hydrocele that occurred in both groups. There was no significant difference in the incidence of scrotal hematoma between the two groups(P>0.05). Although there was no significant difference in the incidence of poor wound healing between the two groups(P>0.05), the incidence in the laparoscopic assisted trans-scrotal surgery group was lower than that in the traditional surgery group (2.6% vs. 6.4%). Conclusion Laparoscopic assisted trans-scrotal surgery is as safe and effective method as traditional surgery for patients with inguinal cryptorchidism, and could also provide a good appearance.https://doi.org/10.1186/s12894-023-01244-3Laparoscopic assisted trans-scrotal surgeryInguinal surgeryCryptorchidismPatent processus vaginalisOrchidopexy
spellingShingle Qiang Guo
Yifei Zhang
Huajian Lai
WenWen Zhong
Jianguang Qiu
Dejuan Wang
Laparoscopic assisted trans-scrotal orchiopexy versus traditional orchiopexy for inguinal cryptorchidism: a retrospective study based on 154 patients
BMC Urology
Laparoscopic assisted trans-scrotal surgery
Inguinal surgery
Cryptorchidism
Patent processus vaginalis
Orchidopexy
title Laparoscopic assisted trans-scrotal orchiopexy versus traditional orchiopexy for inguinal cryptorchidism: a retrospective study based on 154 patients
title_full Laparoscopic assisted trans-scrotal orchiopexy versus traditional orchiopexy for inguinal cryptorchidism: a retrospective study based on 154 patients
title_fullStr Laparoscopic assisted trans-scrotal orchiopexy versus traditional orchiopexy for inguinal cryptorchidism: a retrospective study based on 154 patients
title_full_unstemmed Laparoscopic assisted trans-scrotal orchiopexy versus traditional orchiopexy for inguinal cryptorchidism: a retrospective study based on 154 patients
title_short Laparoscopic assisted trans-scrotal orchiopexy versus traditional orchiopexy for inguinal cryptorchidism: a retrospective study based on 154 patients
title_sort laparoscopic assisted trans scrotal orchiopexy versus traditional orchiopexy for inguinal cryptorchidism a retrospective study based on 154 patients
topic Laparoscopic assisted trans-scrotal surgery
Inguinal surgery
Cryptorchidism
Patent processus vaginalis
Orchidopexy
url https://doi.org/10.1186/s12894-023-01244-3
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AT huajianlai laparoscopicassistedtransscrotalorchiopexyversustraditionalorchiopexyforinguinalcryptorchidismaretrospectivestudybasedon154patients
AT wenwenzhong laparoscopicassistedtransscrotalorchiopexyversustraditionalorchiopexyforinguinalcryptorchidismaretrospectivestudybasedon154patients
AT jianguangqiu laparoscopicassistedtransscrotalorchiopexyversustraditionalorchiopexyforinguinalcryptorchidismaretrospectivestudybasedon154patients
AT dejuanwang laparoscopicassistedtransscrotalorchiopexyversustraditionalorchiopexyforinguinalcryptorchidismaretrospectivestudybasedon154patients