Complications of Laparoscopic Orchidopexy

■ Complications of laparoscopic orchidopexy can include the following:

■ Anesthesia risks

■ Injury to intra-abdominal or retroperitoneal organs necessitating emergent laparotomy

■ Acute atrophy of the testicle

■ Mechanical injury to the vas, epididymis, testis, or testicular vessels

■ Poor testicular position

■ Unrecognized need for a staged operation

As mentioned, if vessel length after significant dissection is found to continue to be inadequate, then the testicular vessels are clipped and transected, allowing further mobility and easier placement in the hemiscrotum. However, single-stage transfer in this fashion is clearly associated with higher atrophy rates than with single-stage primary orchidopexy and in most cases should and can be avoided.

0 0

Post a comment