BACKGROUND: We present the midterm results of the novel technique of two-stage laparoscopic traction orchiopexy (SLTO) for the high @entity1320 ( @entity1320 ) for elongation of the testicular vessels without division. @entity1 AND METHODS: @entity1 with @entity1320 proven by laparoscopy were selected for the technique between September 2009 and April 2013 in 2 Egyptian pediatric surgery units. @entity1 <6months or >9years were excluded. The technique entails fixation of the testis to a point one inch above and medial to the contralateral anterior superior iliac spine for 12weeks. Subdartos orchiopexy is then done at the second stage. Both stages are laparoscopically assisted. RESULTS: SLTO was used in 124 @entity1 (140 testis units) with @entity1320 . Mean follow-up period was 16 (range 6-36) months. Scrotal testes were achieved in 105 (84%) of 125 followed cases. Success was correlated with @entity1 age at operation and with distance of @entity1320 from the internal inguinal ring with higher success in younger @entity1 and in testes nearer to internal inguinal ring. CONCLUSION: The novel technique of two-stage laparoscopic traction-orchiopexy is useful in @entity1320 not amenable to one-stage laparoscopic-assisted orchiopexy; it resulted in significant elongation of testicular vessels without @entity194 . It is a safe and valid alternative to two-stage laparoscopic Fowler-Stephens technique, which entails division of the main testicular vessels.

Staged laparoscopic traction-orchiopexy for XXXX (Shehata technique): Stretching the limits for preservation of testicular vasculature.

@entity1 :: ('9606', 'Species') :: ['Boys', 'patients', 'patient', 'PATIENTS', 'boys'] @entity1320 :: ('MESH:D059413', 'Disease') :: ['intraabdominal testis', 'IAT'] @entity194 :: ('MESH:D001284', 'Disease') :: ['atrophy']
@entity1320 :: (MESH:D059413,Disease) :: ['intraabdominal testis']
