✦ Undescended Testis Treatment

Laparoscopic Orchidopexy

Q: What if the testis cannot be found laparoscopically?

If the testis is absent (vanishing testis), laparoscopy confirms this avoiding unnecessary open exploration; no further surgery is needed.

Q: Is laparoscopic orchidopexy better than open for intra-abdominal testes?

Laparoscopy is the standard approach for non-palpable testes; it allows assessment and treatment through the same small incisions. Your consultant will provide specific guidance based on your individual clinical situation and recovery.

Q: What is the success rate of laparoscopic orchidopexy?

Success rates (testis viable and well-positioned in scrotum) exceed 90% for single-stage laparoscopic orchidopexy in experienced centres. Your consultant will provide specific guidance based on your individual clinical situation and recovery.

Laparoscopic Fixation of Intra-Abdominal Undescended Testis

60–90 min PROCEDURE

Day Care HOSPITAL STAY

>90% SUCCESS RATE

1 Week RECOVERY

What is Laparoscopic Orchidopexy?

Laparoscopic Orchidopexy is performed for non-palpable undescended testes that cannot be felt in the groin and are located intra-abdominally. Laparoscopy first confirms the testis location and assesses the length of the spermatic vessels. If sufficient vessel length is available, the testis is mobilised laparoscopically and brought into the scrotum in a single stage. If vessel length is insufficient, a two-stage Fowler-Stephens procedure is planned. The procedure is performed under general or spinal anaesthesia with a hospital stay of Day Care. Success rates reach >90% in appropriately selected patients at experienced centres.

Boys with non-palpable undescended testis not identified on clinical examination, requiring laparoscopic assessment and orchidopexy. Patients must be adequately fit for anaesthesia and free from active systemic infection before proceeding.

How the Procedure Works

Port Placement

Three laparoscopic ports placed; peritoneal cavity insufflated.

Testis Location

Bilateral internal inguinal rings inspected; testis located intra-abdominally.

Vessel Assessment

Spermatic vessels and vas deferens assessed for length and mobility.

Testicular Mobilisation

If single stage possible: testis mobilised; vessels and vas freed from peritoneum.

Scrotal Placement

Neo-hiatus created; testis brought into scrotal dartos pouch and fixed.

Outcomes

60–90 minDURATION

Day CareHOSPITAL STAY

>90%SUCCESS RATE

1 WeekFULL RECOVERY

Who Needs This Treatment?

→Laparoscopy confirms testis location before committing to an incision.
→Allows simultaneous bilateral assessment through same port access.
→Minimally invasive approach with tiny incisions and rapid recovery.
→Identifies absent or atrophic testis avoiding unnecessary groin exploration.
→Single-stage repair achievable for most intra-abdominal testes.
→If vessel length insufficient, laparoscopy guides Fowler-Stephens planning.

"Laparoscopy has transformed the management of non-palpable undescended testes. We can confirm the diagnosis, assess vessel length, and perform the orchidopexy all through the same tiny incisions."

— — Dr. Vipin Reddy, Consultant Urologist, Andrologist & Renal Transplant Surgeon

Common Questions

Frequently Asked

What if the testis cannot be found laparoscopically?+

Is laparoscopic orchidopexy better than open for intra-abdominal testes?+

What is the success rate of laparoscopic orchidopexy?+

Not sure which treatment is right for you?

Book a consultation with Dr. Vipin Reddy and get a personalised treatment plan.

WhatsApp Us ← Back to Treatments