Volume 26, Issue 130, December 2022

Outcome and risk factors of failure after Orchidopexy, a single institution experience

Osamah Almosallam^1♦, Nawaf Sulaiman Alrubaysh², Abdulaziz Khalaf Alanazi², Ali Khalid Alshaya², Feras Khalid AlGhofaily², Saleh Fahad Aldubayyan², Waleed Almutairi³

¹Consultant pediatric Surgeon, Department of Pediatric Surgery, King Abdullah Specialist Children's Hospital, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia
²Medical Intern, College of Medicine, Qassim University, Qassim, Saudi Arabia
³Assistant professor, College of Science, Qassim University, Qassim, Saudi Arabia

^♦Corresponding author
Consultant pediatric Surgeon, Department of Pediatric Surgery, King Abdullah Specialist Children's Hospital, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia

ABSTRACT

Introduction: Cryptorchidism, or undescended testis (UDT), is the failure of one or both testes to descend to the base of the scrotum. It is a common problem that increases the risk of infertility and testicular malignancy. We aimed to review the outcomes of orchidopexy and evaluate the risk factors for failure after surgery. Methods: We retrospectively reviewed all boys who underwent orchidopexy between 2018 and 2021 at a tertiary pediatric hospital. Data on patient demographics, surgical approach, complications and followup period were collected. Descriptive data were generated and compared using t-test and chi-squared tests. Statistical significance was set at p<0.05. Multivariate and univariate analyses were used to assess the significance of each factor studied. Results: One hundred patients aged < 14 years underwent orchidopexy. Among them, 76 patients underwent the open approach, and 24 underwent the laparoscopic approach. Among the laparoscopic approaches, six patients were operated on in one stage while the remaining underwent a 2- stages approach. Postoperative complications, including Hematoma (8%), wound infection (2%), testicular atrophy (4%) and recurrence (5%), occurred in 16 patients. When analyzing the risk factors for testicular atrophy after orchidopexy, only the intra-abdominal location of the testis was found to be significant (P-value<0.0001). However, no factors were found to be significant when assessing for recurrence. Conclusion: Intra-abdominal testes are associated with a higher risk of postoperative testicular atrophy. Parents of patients with intra-abdominal testes should be aware of the higher risk.

Keywords: Cryptorchidism, undescended testes, orchidopexy

Medical Science, 2022, 26, ms575e2677

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DOI: https://doi.org/10.54905/disssi/v26i130/ms575e2677

Published: 30 December 2022