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 across three centers.
• Braided sutures showed better fixation than monofilament (used in 90.9% of insufficient fixation cases) for securing testes to abdominal wall.
• Perioperative complications occurred in 38.2% of cases, most commonly insufficient fixation (20%) and testicular atrophy (7.3%).
• Mean interval between stages was 16.4 weeks; technique preserves testicular vessels while achieving gradual descent through traction.
• 60% of intra-abdominal testes showed morphological abnormalities at initial laparoscopy, highlighting importance of early intervention.

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