Abstract：
BACKGROUND: Traditional open orchiopexy remains the standard treatment for palpable undescended testicles (UDT). However, laparoscopic orchiopexy has recently gained attention as an alternative approach.
OBJECTIVE: This study aimed to compare the outcomes of laparoscopic versus open orchiopexy for high-inguinal undescended testes.
METHODS: A prospective randomized comparative study was conducted, involving 208 children with high inguinal undescended testes. The patients were divided into two groups: group A (104 patients) underwent laparoscopic orchiopexy and group B (104 patients) underwent open orchiopexy.
RESULTS: There was a significant difference in the final testicular position between the two groups. The follow-up after 1 year showed that 100% of patients in group A had a lower testicular position, compared to 72.6% in group B. Laparoscopic orchiopexy demonstrated better outcomes in terms of achieving a lower testicular position.
CONCLUSIONS: Both Laparoscopic and Open Orchiopexy are safe and effective for the treatment of high inguinal undescended testes. However, Laparoscopic Orchiopexy was superior to Open Orchiopexy because it was associated with better outcomes with regard to the final testicular position at the bottom of the scrotum or at a lower level below the mid-scrotal point.
OBJECTIVE: This study aimed to compare the outcomes of laparoscopic versus open orchiopexy for high-inguinal undescended testes.
METHODS: A prospective randomized comparative study was conducted, involving 208 children with high inguinal undescended testes. The patients were divided into two groups: group A (104 patients) underwent laparoscopic orchiopexy and group B (104 patients) underwent open orchiopexy.
RESULTS: There was a significant difference in the final testicular position between the two groups. The follow-up after 1 year showed that 100% of patients in group A had a lower testicular position, compared to 72.6% in group B. Laparoscopic orchiopexy demonstrated better outcomes in terms of achieving a lower testicular position.
CONCLUSIONS: Both Laparoscopic and Open Orchiopexy are safe and effective for the treatment of high inguinal undescended testes. However, Laparoscopic Orchiopexy was superior to Open Orchiopexy because it was associated with better outcomes with regard to the final testicular position at the bottom of the scrotum or at a lower level below the mid-scrotal point.
摘要：
背景：传统的开放式睾丸固定术仍然是可触及的未降睾丸（UDT）的标准治疗方法。然而,腹腔镜睾丸固定术作为一种替代方法最近引起了人们的注意。
目的：本研究旨在比较腹腔镜与开腹睾丸固定术治疗腹股沟高位不降睾丸的效果。
方法：进行前瞻性随机对照研究，涉及208名腹股沟高睾丸不降的儿童。将患者分为两组：A组（104例）行腹腔镜睾丸固定术，B组（104例）行开腹睾丸固定术。
结果：两组之间的最终睾丸位置存在显着差异。1年后的随访显示，A组100%的患者有较低的睾丸位置，与B组的72.6%相比，腹腔镜睾丸固定术在实现较低的睾丸位置方面显示出更好的结局。
结论：腹腔镜和开腹睾丸固定术治疗腹股沟高位不降睾丸均安全有效。然而,腹腔镜睾丸固定术优于开腹睾丸固定术，因为它与阴囊底部或阴囊中部以下较低水平的最终睾丸位置有关。
目的：本研究旨在比较腹腔镜与开腹睾丸固定术治疗腹股沟高位不降睾丸的效果。
方法：进行前瞻性随机对照研究，涉及208名腹股沟高睾丸不降的儿童。将患者分为两组：A组（104例）行腹腔镜睾丸固定术，B组（104例）行开腹睾丸固定术。
结果：两组之间的最终睾丸位置存在显着差异。1年后的随访显示，A组100%的患者有较低的睾丸位置，与B组的72.6%相比，腹腔镜睾丸固定术在实现较低的睾丸位置方面显示出更好的结局。
结论：腹腔镜和开腹睾丸固定术治疗腹股沟高位不降睾丸均安全有效。然而,腹腔镜睾丸固定术优于开腹睾丸固定术，因为它与阴囊底部或阴囊中部以下较低水平的最终睾丸位置有关。
