Comparing two surgical techniques for undescended testis treatment
Transection Versus Ligation of Internal Spermatic Vessels in First Stage Laparoscopic Fowler-Stephens Orchidopexy for Intra-abdominal Testis. Randomized Study
NA · Assiut University · NCT06558994
This study is testing which surgical method works better to help boys with undescended testicles get them to move down into the scrotum during treatment.
Quick facts
| Phase | NA |
|---|---|
| Study type | Interventional |
| Enrollment | 58 (estimated) |
| Ages | N/A to 12 Years |
| Sex | Male |
| Sponsor | Assiut University (other) |
| Locations | 1 site (Asyut, Egypt) |
| Trial ID | NCT06558994 on ClinicalTrials.gov |
What this trial studies
This study compares the outcomes of transection versus ligation of internal spermatic vessels during the first stage of laparoscopic Fowler-Stephens orchidopexy for treating intra-abdominal testis in patients with cryptorchidism. Cryptorchidism is a common congenital condition where one or both testicles fail to descend into the scrotum, which can lead to complications if untreated. The study aims to determine which surgical approach is more effective in facilitating the descent of the testis to the scrotum during the second stage of the procedure. The research will involve patients with unilateral or bilateral impalpable testis and will exclude those with certain prior surgical histories or specific medical conditions.
Who should consider this trial
Good fit: Ideal candidates for this study are infants and children with unilateral or bilateral impalpable testis.
Not a fit: Patients with previous surgeries related to the testis or specific disorders of sexual differentiation may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could improve surgical outcomes for patients with undescended testis, potentially reducing the risk of infertility and other complications.
How similar studies have performed: Other studies have shown success with laparoscopic techniques for treating undescended testis, but this specific comparison of transection versus ligation is less commonly explored.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: All patients with Unilateral or Bilateral impalpable testis Exclusion Criteria: 1. Previous Laparotomy surgery 2. Previous Ventriculo-peritoneal shunt 3. Previous laparoscopy for impalpable testis (outside study) 4. Previous Inguinal/Scrotal surgery 5. Disorder of sexual differentiation 6. Abnormal Karyotyping 7. Intra-operative Inguinal testis 8. Ipsilateral testis : Peeping/ Vas internal internal ring / Vanished / Streak / Ovotestis / Ovary. 9. Contralateral : Streak/ Ovotestis/ Ovary
Where this trial is running
Asyut, Egypt
- Assiut University Urology Hospital — Asyut, Egypt, Egypt (RECRUITING)
Study contacts
- Principal investigator: Mostafa M. Mostafa, MD, MSc, PhD — Assiut University
- Study coordinator: Mostafa M. Mostafa, MD, MSc, PhD
- Email: mostafaabdelaziz91@gmail.com
- Phone: 01000740478
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Cryptorchidism