This is a single center, prospective randomized pilot study of
patients undergoing laparoscopy for non-palpable testes at
Children's Mercy Hospitals and Clinics.
Thirty patients will be randomized in this study. If the
testicle can reach the opposite internal ring, the patient will not
be randomized, but will undergo a standard orchiopexy with
mobilization of the testicular vessels.
At the time of laparoscopy, the testicle is assessed and a
determination of testicular position will be made. If the testicle
does not reach the opposite internal ring, the patient undergoes
randomization to either primary or two stage orchiopexy as
determined by the randomization sequence.
Data collected will includes radiologic and ultrasound
evaluation data; patient age at operation(s); operative
approach(es); operative time(s); hospital charges; length of
follow-up; testicular survival; and complications.
For patients undergoing a two-stage orchiopexy, the second stage
is performed at six months after the initial division of the