Korean J Urol.  2015 Nov;56(11):781-784. 10.4111/kju.2015.56.11.781.

Single port laparoscopic orchidopexy in children using surgical glove port and conventional rigid instruments

• Mahdi BD
• Rahma C
• Mohamed J
• Hayet Z
• Riadh M

• KMID: 2351042
• DOI: http://doi.org/10.4111/kju.2015.56.11.781

Abstract

PURPOSE
We review the literature and describe our technique for laparoendoscopic single-site orchidopexy using a glove port and rigid instruments. We assessed the feasibility and outcomes of this procedure.
MATERIALS AND METHODS
We retrospectively reviewed the case records of all children who had undergone laparoendoscopic single-site orchidopexy by use of a surgical glove port and conventional rigid instruments for a nonpalpable intraabdominal testis between January 2013 and September 2014.
RESULTS
Data from a total of 20 patients were collected. The patients' mean age was 18 months. All cases had a nonpalpable unilateral undescended testis. Fourteen patients (70%) had an undescended testis on the right side and six patients (30%) had an undescended testis on the left side. Seventeen patients underwent primary orchidopexy. Three patients underwent single-port laparoscopic Fowler-Stephens orchidopexy for the first and the second stage. Average operating time was 57 minutes (range, 40 to 80 minutes). No patient was lost to follow-up. At follow-up, 2 testes were found to have retracted out of the scrotum and these were successfully dealt with in a second operation. One testis was hypoplastic in the scrotal pouch. There were no signs of umbilical hernia.
CONCLUSIONS
Single-port laparoscopic orchidopexy using a glove port and rigid instruments is technically feasible and safe for various nonpalpable intraabdominal testes. However, surgical experience and long-term follow-up are needed to confirm the superiority of this technique.

Keyword

Laparoscopy; Orchiopexy; Testis

MeSH Terms

Cryptorchidism/pathology/*surgery
Equipment Design
Feasibility Studies
Follow-Up Studies
Gloves, Surgical
Humans
Infant
Laparoscopy/instrumentation/methods
Male
Orchiopexy/*instrumentation/methods
Retrospective Studies

Figure

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  Fig. 1 Glove port ready for insertion.

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  Fig. 2 Surgical glove port with conventional rigid instruments.

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  Fig. 3 Postoperative photography showing umbilical incision.

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