title: Laparoscopic orchiopexy and varicocelectomy: is there really an advantage?
abstract: The role of laparoscopy in the case of nonpalpable cryptorchidism is both diagnostic and therapeutic. Laparoscopic orchiopexy for nonpalpable testes in the pediatric population has become the preferred surgical approach among pediatric urologists over the last 20 years. In contrast, laparoscopic varicocelectomy is considered one of several possible approaches to the treatment of a varicocele in an adolescent; however, it has many challengers and it has not gained universal acceptance as the gold standard. This article reviews the published evidence regarding these surgical techniques.
authors.affiliation: Department of Urology, Long Island Jewish Hospital, 270-05 76th Ave, New Hyde Park, NY 11040, USA. Electronic address: rog2003@gmail.com.
authors.forename: Ronnie G
authors.initials: RG
authors.lastname: Fine
authors.affiliation: Department of Urology, New York Medical College, 40 Sunshine Cottage Rd, Valhalla, NY 10595, USA.
authors.forename: Israel
authors.initials: I
authors.lastname: Franco
mesh_terms: D000293:Adolescent; D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D003456:Cryptorchidism / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications / Q000503:physiopathology; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D008297:Male; D056126:Orchiopexy / Q000009:adverse effects / Q000379:methods*; D010147:Pain Measurement; D010149:Postoperative Pain / Q000503:physiopathology; D011183:Postoperative Complications / Q000503:physiopathology; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome; D013520:Urologic Surgical Procedures / Q000009:adverse effects / Q000379:methods; D014646:Varicocele / Q000175:diagnosis / Q000601:surgery*
keywords: Adolescent; Laparoscopy; Orchiopexy; Pediatric; Surgical technique; Undescended testis; Varicocele; Varicocelectomy