COMPARISON BETWEEN LAPAROSCOPIC TRACTION (SHEHATA TECHNIQUE) AND 2-STAGE FOWLER STEPHENS ORCHIOPEXY FOR HIGH INTRABDOMINAL UNDESCENDED TESTIS. A PROSPECTIVE RANDOMIZED STUDY.
NCT07421310 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 50
Last updated 2026-02-19
Summary
The goal of this clinical trial is to compare between laparoscopic traction (Shehata technique) with 2-Stage Fowler Stephens orchiopexy in cases of high intra-abdominal undescended testis in a prospective randomized manner to verify the results of the Shehata technique against the reference standard Fowler-Stephens Orchiopexy in fullfilling the objective of placing a high intra-abdominal testis into the ipsilateral scrotal compartment without the occurance of later atrophy or ascent on follow up.
Type of Study: Prospective randomized clinical study that conforms to the CONSORT statement guidelines \[9\]. Patients will be divided into 2 groups randomized by block randomization method with an intention-to treat approach into:
Group 1: Patients will undergo the Shehata Traction technique. Group 2: Patients will undergo Folwer-Stephens technique.
Conditions
- High Intrabdominal Undescended Testis
Interventions
- PROCEDURE
-
Laparoscopic Traction (Shehata Technique) And 2-Stage Fowler Stephens Orchiopexy
4\. Operative details: Commenced with examination under general anesthesia. If testis is impalpable at the inguinal region, a diagnostic laparoscopy follows: 1. If the diagnostic laparoscopy reveals vanishing testis, the patient will be excluded from the study. 2. If diagnostic laparoscopy reveals intrabdominal test is which can be brought to scrotum in one stage (as evidenced by ability of the testis to reach the contralateral internal ring with no/mild tension) the patient will be excluded from the study. 3. Otherwise, a staged procedure traction technique or Fowler Stephens technique as per block allocation will be performed and this patient will be included in the study.
Sponsors & Collaborators
-
Ahmed Maher Teaching Hospital
collaborator OTHER_GOV -
Ain Shams University
lead OTHER
Principal Investigators
-
Soliman · Pediatric Surgery department, Faculty of Medicine, Ain Shams University
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 6 Months
- Max Age
- 18 Years
- Sex
- MALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-01-01
- Primary Completion
- 2025-11-30
- Completion
- 2025-11-30
Countries
- Egypt
Study Locations
More Related Trials
-
Hybrid Duckett vs Modified Duckett Urethroplasty for Proximal Hypospadias
NCT06598215 ·Status: RECRUITING ·Phase: NA
-
Spectrum of Epididymis and Vas Deferens Anomalies Among Children With Cryptorchidism
NCT04696874 ·Status: COMPLETED
-
Orchidopexy Randomized Clinical Assessment
NCT02235623 ·Status: RECRUITING ·Phase: NA
-
Comparison Between the Clinical Assessment of the Undescended Testis and Its' Ultrasonographic Size
NCT02731989 ·Status: UNKNOWN
-
Contralateral Testicular Volume in Unilateral Impalpable Testis
NCT05933811 ·Status: COMPLETED ·Phase: NA
-
Expertise-Based Randomized Controlled Trial of Scrotal Versus Inguinal Orchidopexy on Post-operative Pain
NCT02158780 ·Status: COMPLETED ·Phase: NA
-
A Comparison of Testicular Volume and Blood Flow in Patients With Inguinal Hernia, Hydrocele, and Cord Cyst
NCT03033381 ·Status: COMPLETED ·Phase: NA
-
Doppler Ultrasound Assisted Varicocelectomy Improve Sperm Qualities
NCT02695199 ·Status: UNKNOWN ·Phase: NA
-
Comparison of Open Versus Laparoscopic High Ligation Varicocelectomy For The Treatment Of Varicocele
NCT07353164 ·Status: COMPLETED ·Phase: NA
-
Comparison of Single Incision Scrotal vs Standard Two Incision Inguinal Orchidopexy in Children Under 10 Years.
NCT07233265 ·Status: RECRUITING ·Phase: NA
-
Evaluation of the Method and Duration of Urinary Diversion in the Management of Distal Penile Hypospadias Following Surgical Repair.
NCT07421271 ·Status: COMPLETED ·Phase: NA
-
Lord´s Procedure Versus Sclerotherapy for Testicular Hydrocele; a Randomized Controlled Study
NCT02082613 ·Status: UNKNOWN ·Phase: NA
-
Comparing Two Types of Surgery for Children With Undescended Testicles When the Hernia Sac Is Tied or Not
NCT07319637 ·Status: COMPLETED ·Phase: NA
-
Effectiveness of Caudal Epidural Block on Intraoperative Blood Loss During Hypospadias Repair
NCT02752308 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Does Low Dose of Dexamethasone Enhance Analgesic Quality of Caudal Analgesia in Children Undergoing Orchiopexy?
NCT04841018 ·Status: COMPLETED ·Phase: NA
-
Distal Hypospadias Repair Outcome
NCT06700629 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Evaluating the Analgesic Efficacy of Oxycodone Hydrochloride in Pediatric Laparoscopic Cryptorchidism Surgery
NCT06665048 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
"Comparison of USG-Guided Caudal Versus Ilioinguinal/Iliohypogastric Nerve Block for Pediatric Inguinal Surgeries"
NCT05558748 ·Status: UNKNOWN ·Phase: NA
-
Fertility Preservation for Transfeminine Adolescents Via Semen Cryopreservation or Testicular Sperm Extraction
NCT06400199 ·Status: RECRUITING
-
Impact of Percutaneous Laparoscopic Assisted Internal Ring Ligation During Lap Orchiopexy
NCT03291678 ·Status: UNKNOWN ·Phase: NA
-
Value of Inguinal Exploration for Impalpable Testes
NCT06187844 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Evaluating Pain Outcomes of Caudal vs Ilioinguinal Nerve Block in Children Undergoing Orchiopexy Repair
NCT03041935 ·Status: COMPLETED ·Phase: NA
-
One Stage vs. Two Stage Gubernaculum Sparing Laparoscopic Orchidopexy (GSLO)
NCT02936024 ·Status: RECRUITING ·Phase: NA
-
Outcomes of Intra-Cytoplasmic Sperm Injection in Infertile Men With Non-tense Vaginal Hydrocele
NCT03532386 ·Status: COMPLETED
-
Testicular Torsion Evaluation by ultraSonography Technic Imaging
NCT07133243 ·Status: NOT_YET_RECRUITING