Comment on: Laparoscopic access in the treatment of palpable cryptorchidism (review)

Abstract

In issue #1 of volume 28 (2024) of the "Russian Journal of Pediatric Surgery" journal, an international team of authors published the scientific review "Laparoscopic access in the treatment of palpable cryptorchidism (review)" (DOI: https://doi.org/10.17816/ps667). The article analyzed international publications with the results of using laparoscopic access for orchiopexy of palpable testicles. Unfortunately, in all the articles mentioned in the review the follow-up period was 12–18 months. In addition, there is no assessment of gonads state before descending in the analysed articles. It seems that a mechanistic approach was chosen: they used laparoscopic access, mobilised the testis, performed orchiopexy, made sure that there was no atrophy or retention, and assessed the result as positive. This is not sufficient to analyse and objectively evaluate the proposed method in a statistically valid manner. When choosing an orchiopexy method, it is necessary to be guided by reliable long-term results and try not to contrast traditional orchiopexy methods with laparoscopic methods.

Keywords

orchiopexy / laparoscopic access / commentary

References

[1] The European Association of Urology. EAU Paediatric Urology Guidelines. The Netherlands: EAU Guidelines Office; 2021.

[2] Riquelme M, Aranda A, Rodriguez C, et al. Laparoscopic orchiopexy for palpable undescended testes: A five-year experience. J Laparoendosc Adv Surg Tech A. 2006;16(3):321-324. doi: 10.1089/lap.2006.16.321

[3] Riquelme M., Aranda A., Rodriguez C., et al. Laparoscopic orchiopexy for palpable undescended testes: A five-year experience // J Laparoendosc Adv Surg Tech A. 2006. Vol. 16, N 3. P. 321-324. doi: 10.1089/lap.2006.16.321

[4] Isroilov AA, Akramov NR, Sizonov VV, Shidaev AKh-A, Rahmatullaev AA. Laparoscopic access in the treatment of palpable cryptorchidism (review). Russian Journal of Pediatric Surgery. 2024;28(1): 54-59. doi: https://doi.org/10.17816/ps667

[5] Исроилов А.А., Акрамов Н.Р., Сизонов В.В., Шидаев А.Х-А., Рахматуллаев А.А. Лапароскопический доступ при лечении пальпируемых форм крипторхизма (обзор литературы) // Детская хирургия. 2024. Т. 28, № 1. С. 54-59. doi: https://doi.org/10.17816/ps667

RIGHTS & PERMISSIONS

Eco-Vector