WOFAPS 2025 8th World Congress of Pediatric Surgery

Muhammad Azhar, Shazia Jalil, Parameaswari Parthasarathy Jaganathanb, Omar Abubakr Bajaber, Ghaida Abdullah Alabidia, mishraz Sheikh, saad Al Hamidi, Khalid Alfifi, Tarek Talaat Harb, Abdelbasit E.Ali, Fazal Nouman Wahid

king saud medical city

Aims:

This study aims to compare the outcomes of two-stage Fowler–Stephens laparoscopic orchiopexy (FLSO) and the Shehata technique, while also evaluating how the age at the time of surgery influences the risk of postoperative testicular atrophy and the likelihood of failing to achieve satisfactory testicular position and size.

Methods:

A retrospective study was carried out at King Saud Medical City between August 2016 and September 2020, focusing on postoperative outcomes related to testicular size, position, and atrophy. Data were analyzed using SPSS Version 29.0, employing statistical methods such as the Kolmogorov–Smirnov test, chi-square test, and Student’s t-test to evaluate the results.

Results:

A total of 22 testes were evaluated, with 11 assigned to the Shehata group and 9 to the FSLO group. Postoperatively, all testes in the Shehata group remained viable (p = 0.011), whereas testicular atrophy occurred in 30% (3/10) of cases in the FSLO group. Scrotal positioning was achieved in 75% (9/12) of testes in the Shehata group, compared to 60% in the FSLO group (p = 0.001). Additionally, 75% of testes in the Shehata group maintained normal size, while only 30% did so in the FSLO group (p = 0.001)

Conclusions:

In children under 4 years of age, the Shehata technique demonstrates superior outcomes in preserving testicular vascularity and achieving scrotal positioning. Conversely, in children older than 4 years, the Fowler–Stephens laparoscopic orchiopexy (FSLO) yields more favorable results.