Laparoscopic versus open orchiopexy in the management of peeping testis: A multi-institutional prospective randomized study

Management of undescended testes: European Association of Urology/European Society for Paediatric Urology Guidelines

“…If the vessels enter the inguinal canal, one may find an atrophic testis on inguinal exploration or a healthy testis that needs to undergo standard orchidopexy [54]. A peeping testis can be placed down in the scrotum laparoscopically or via an inguinal incision [55]. Placement of an intraabdominal testis can sometimes be a surgical challenge.…”

Putting the pieces together: cryptorchidism – do we know everything?

“…This type of testis may be associated with a closed or an open internal inguinal ring. Through the open internal inguinal ring, the testis may be "peeping" into the inguinal canal, depending on the length of the processus vaginalis and the testicular vessels (40).…”

Impact of Preoperative Ultrasonographic Evaluation for Detection of a Viable Testis in Patients With a Unilateral Nonpalpable Testis

“…Another reason for not recommending this method is that a preoperative US evaluation would not alter the surgical approach . Several reports demonstrated that laparoscopic orchidopexy appeared to be equal or fairly superior to open orchidopexy for peeping or intra‐abdominal testes in terms of the success rate, morbidity, and length of the hospital stay, although most of the results were statistically insignificant . Thus, an initial laparoscopic approach may be feasible if the presence of a viable testes is suspected.…”