title: Laparoscopic versus open orchiopexy in the management of peeping testis: a multi-institutional prospective randomized study.
abstract: OBJECTIVE
  Peeping testis is an inconsistently palpable/seen undescended testis that migrates back and forth at the internal inguinal ring. Both open and laparoscopic orchiopexy are effective forms of management. The present study aimed to evaluate the efficacy and safety of both approaches.
  
  
  METHODS
  Between September 2007 and January 2012, 46 peeping inguinal testes were randomly treated with either open (25 cases) or laparoscopic (21 cases) orchiopexy procedures. Spermatic vessels were preserved for all cases. Operative details, postoperative morbidity and final testicular site and size were recorded.
  
  
  RESULTS
  The median age of the children was 2.5 years (range 0.5-12.0). The follow-up period ranged from 1.0 to 5.5 years. Of these testes, 20 in the open surgery group and 19 in the laparoscopic group maintained correct intrascrotal position (P = 0.428). Re-do orchiopexy was indicated for two cases in the surgical group (P = 0.493). No cases of testicular atrophy or hernia were encountered.
  
  
  CONCLUSIONS
  Open and laparoscopic orchiopexy procedures for peeping testes are fairly comparable. However, laparoscopy is relatively more effective, as two re-do orchiopexies were required in the open surgical group.
authors.affiliation: Pediatric Urology Division, Urology Department, Assiut University Hospital, Egypt. Electronic address: ahmad.elderwy@gmail.com.
authors.forename: A A
authors.initials: AA
authors.lastname: Elderwy
authors.affiliation: Pediatric Urology Division, Urology Department, Assiut University Hospital, Egypt. Electronic address: kurkar1970@gmail.com.
authors.forename: A
authors.initials: A
authors.lastname: Kurkar
authors.affiliation: Urology Department, Qena(2) University Hospitals, Egypt. Electronic address: drmohmd40@gmail.com.
authors.forename: M S
authors.initials: MS
authors.lastname: Abdel-Kader
authors.affiliation: Urology Department, Qena(2) University Hospitals, Egypt. Electronic address: abolyosr66@yahoo.com.
authors.forename: A
authors.initials: A
authors.lastname: Abolyosr
authors.affiliation: Division of Urology, Department of Surgery, College of Medicine and King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia. Electronic address: drhamdan@ksu.edu.sa.
authors.forename: H
authors.initials: H
authors.lastname: Al-Hazmi
authors.affiliation: Division of Urology, Department of Surgery, College of Medicine and King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia. Electronic address: kfouda@ksu.edu.sa.
authors.forename: K F
authors.initials: KF
authors.lastname: Neel
authors.affiliation: Pediatric Urology Division, Urology Department, Assiut University Hospital, Egypt. Electronic address: hisham_64@hotmail.com.
authors.forename: H M
authors.initials: HM
authors.lastname: Hammouda
authors.affiliation: Pediatric Urology Division, Urology Department, Assiut University Hospital, Egypt. Electronic address: fathy1058@yahoo.com.
authors.forename: F G
authors.initials: FG
authors.lastname: Elanany
mesh_terms: D002648:Child; D002675:Child, Preschool; D003456:Cryptorchidism / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007264:Inguinal Canal; D010535:Laparoscopy; D008297:Male; D061646:Operative Time; D056126:Orchiopexy / Q000379:methods*; D011446:Prospective Studies; D016896:Treatment Outcome
keywords: Cryptorchidism; Laparoscopic Orchiopexy; Orchiopexy; Peeping Testis