Medium-Term Results of Staged Laparoscopic Traction Orchiopexy for Intra-abdominal Testes: A Multicenter Analysis

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Key takeaways

• Staged laparoscopic traction orchiopexy achieved 82.2% success rate for intra-abdominal testes with mean 2.7-year follow-up.
• Braided sutures showed better fixation than monofilament (90.9% of insufficient fixations occurred with monofilament sutures).
• Perioperative complications occurred in 38.2% of cases, most commonly insufficient fixation requiring intervention.
• Mean interval between stages was 16.4 weeks; technique preserves testicular vessels without division.
• 60% of intra-abdominal testes had morphological abnormalities at initial laparoscopy, informing surgical planning.

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