Transection Versus Ligation of Internal Spermatic Vessels in Laparoscopic Fowler-Stephens Orchidopexy
Transection Versus Ligation of Internal Spermatic Vessels in First Stage Laparoscopic Fowler-Stephens Orchidopexy for Intra-abdominal Testis. Randomized Study
Assiut University
58 participants
Sep 1, 2024
INTERVENTIONAL
Conditions
Summary
This is a comparative study to see the outcome of yransection versus ligation of internal spermatic vessels in first stage laparoscopic Fowler-Stephens orchidopexy for intra-abdominal testis in assisting the descent of the testis to the base of scrotum during the second stage
Eligibility
Inclusion Criteria1
- All patients with Unilateral or Bilateral impalpable testis
Exclusion Criteria9
- Previous Laparotomy surgery
- Previous Ventriculo-peritoneal shunt
- Previous laparoscopy for impalpable testis (outside study)
- Previous Inguinal/Scrotal surgery
- Disorder of sexual differentiation
- Abnormal Karyotyping
- Intra-operative Inguinal testis
- Ipsilateral testis : Peeping/ Vas internal internal ring / Vanished / Streak / Ovotestis / Ovary.
- Contralateral : Streak/ Ovotestis/ Ovary
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Interventions
Half of the patients will undergo transection of internal spermatic vessels in first stage laparoscopic Fowler-Stephens orchidopexy for intra-abdominal testis.
Half of the patients will undergo ligation of internal spermatic vessels in first stage laparoscopic Fowler-Stephens orchidopexy for intra-abdominal testis
Locations(1)
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NCT06558994