Modified Traction Technique for Intraabdominal Testes With Short Vessels

Objective: To assess the safety and efficacy of modified testicular traction technique in treatment of intraabdominal and peeping testes with short vessels. Patients and methods: In the pediatric surgery unit, Sheikh Khalifa Medical City, Abu Dhabi, UAE, and in the pediatric urology unit, Ibn Sina Hospital, Kuwait, Forty testes in 32 patients were operated using the modification of staged traction laparoscopic-orchiopexy. The modified technique involved intracorporeal placement of suture, gabernacular sparing, no intraabdominal dissection and shorter traction duration as short as 7 days without the need of inguinal incision. Results: All patients tolerated both stages of surgery well without any intra-operative nor post-operative complications. The 1 year follow up period proved successful outcome in all the cases. Conclusion: The modified staged traction laparoscopic orchiopexy is safe, successful and feasible in intra-abdominal and peeping testes.