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Transection Versus Ligation of Internal Spermatic Vessels in Laparoscopic Fowler-Stephens Orchidopexy

ConditionCryptorchidism
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexMale
AgeUp to 12
SponsorAssiut University

About this trial

This is a comparative study to see the outcome of yransection versus ligation of internal spermatic vessels in first stage laparoscopic Fowler-Stephens orchidopexy for intra-abdominal testis in assisting the descent of the testis to the base of scrotum during the second stage

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

None

Disqualifiers

Previous Laparotomy surgery

Previous Ventriculo-peritoneal shunt

Previous laparoscopy for impalpable testis (outside study)

Previous Inguinal/Scrotal surgery

Trial design

Design model

Parallel

Treatments tested in this trial

  • Transection of internal spermatic vessels in first stage laparoscopic Fowler-Stephens orchidopexy for intra-abdominal testis

    Procedure/Surgery

    Half of the patients will undergo transection of internal spermatic vessels in first stage laparoscopic Fowler-Stephens orchidopexy for intra-abdominal testis.

  • Ligation of internal spermatic vessels in first stage laparoscopic Fowler-Stephens orchidopexy for intra-abdominal testis

    Procedure/Surgery

    Half of the patients will undergo ligation of internal spermatic vessels in first stage laparoscopic Fowler-Stephens orchidopexy for intra-abdominal testis

Treatment groups

58 Participants
are divided into 2 treatment groups
Group A: Transection armActive comparator 1 intervention
Group B: Ligation armActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

testis-to-ring distance in mm at the second stage

After either of transection or ligation of the spermatic vessels during the first stage of laparoscopic Fowler-Stephens orchidopexy, the location of the testis away from the internal inguinal ring (the testis-to-ring distance in mm) will be measured during the 2nd stage (degree of descent) 6 months after the first stage and compared among the two groups.

Time frame
At 6 months after the first stage (during the second stage)
2

Testicular volume in mL

After either of transection or ligation of the spermatic vessels during the first stage of laparoscopic Fowler-Stephens orchidopexy, the testicular volume in mL will be assessed intraoperatively during the second stage (6 months after the first stage) and compared among the two groups.

Time frame
At 6 months after the first stage (during the second stage)

Secondary outcomes

1

Operative time in minutes

After either of transection or ligation of the spermatic vessels during the first stage of laparoscopic Fowler-Stephens orchidopexy, the operative time in minutes of the second stage will be measured and compared among the two groups.

Time frame
At 6 months after the first stage (during the second stage)

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Assiut University

Lead sponsor

Source ClinicalTrials.gov
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