- Management of nonpalpable testes.
| Management | Pediatric surgeons (n=77) | Pediatric urologists (n=40) | P-value |
|---|---|---|---|
| What is your preferred initial surgical approach to unilateral nonpalpable testes? | |||
| Laparoscopic | 74 (96.1) | 38 (95.0) | 0.74 |
| Inguinal | 2 (2.6) | 2 (5) | |
| Examination under Ga if not palpable laparoscopic exploration | 1 (1.3) | 0 | |
| What is your preferred initial surgical approach for bilateral nonpalpable testes? | |||
| Laparoscopic | 77 (100) | 40 (100) | |
| What is your preferred timing for bilateral nonpalpable undescended testes? | |||
| Synchronous | 50 (64.9) | 32 (80) | 0.09 |
| Metachronous | 27 (35.1) | 8 (20) | |
| What is your preferred initial approach for intra-abdominal testes where the testis reaches the contralateral ring after mobilization? (When the intra-abdominal testes can be mobilized to the contralateral ring that means it have enough length to go down to the scrotum). | |||
| Laparoscopic 1-stage orchidopexy | 68 (88.3) | 33 (82.5) | 0.001 |
| Staged laparoscopic testicular vessel elongation/Traction, followed by inguinal orchidopexy (Shehata Technique) | 5 (6.5) | 0 | |
| Laparoscopic 2-stage Fowler–Stephens orchidopexy | 1 (1.3) | 7 (17.5) | |
| Inguinal 1-stage orchidopexy | 3 (3.9) | 0 | |
| What is your preferred initial approach for intra-abdominal testes where the testis does not reach the contralateral internal ring after mobilization? | |||
| Laparoscopic 1 stage orchidopexy | 7 (9.1) | 2 (5) | <0.001 |
| Laparoscopic 2-stage Fowler–Stephens orchidopexy | 37 (48.1) | 38 (95) | |
| Staged laparoscopic testicular vessel elongation/Traction, followed by inguinal orchidopexy (Shehata Technique) | 33 (42.9) | 0 | |