Summary
Background
The surgical approach for high-level intra-abdominal testis (IAT) is variable. While
most pediatric urologists prefer staged Fowler-Stephens orchiopexy (FSO), Shehata
publicized a novel approach—known as staged laparoscopic traction orchiopexy (SLTO)
or the Shehata technique—to better manage IATs.
Objective
This study compares the overall success rates, atrophy rates, retraction rates, and
operation times of the two procedures to assist surgeons with developing procedure
strategies.
Methods
Databases were searched for relevant literature involving these two approaches, and
studies meeting the eligibility criteria were involved; RevMan 5.4 was used to conduct
this meta-analysis. The relative risk (RR), weighted mean difference, 95% confidence
interval (CI), p-value, publication bias, and heterogeneity were calculated.
Results
The Shehata technique demonstrated better performance than staged FSO regarding the
overall success and atrophy rate, while the retraction rate and operation time had
no statistical difference.
Conclusions
This study revealed that the Shehata technique may be an alternative to staged FSO
for managing high-level IATs. Additional high-quality studies regarding the Shehata
technique, as well as a long-term follow-up, are required for further and more credible
analysis.
Keywords
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Article info
Publication history
Published online: March 09, 2023
Accepted:
February 27,
2023
Received in revised form:
February 3,
2023
Received:
October 16,
2022
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.
