Laporoscopic assisted orchiopexy for impalpable undescended tests

ABSTRACT

Multiple approaches exist for the management of impalpable undescended testicle. With the use of diagnostic laparoscopy widely accepted in the setting of the non-palpable testis, laparoscopic orchiopexy seemed to be a logical extension. We report our experience with laparoscopic orchiopexy in treating 36 impalpable testis in 32 children at Tanta University Hospital, three of them had undergone a negative groin exploration at other centers, Twelve children had an absent testis at the side under investigation [33.3%]. Twenty children with 24 intra-abdominal testes underwent laparoscopic assisted orchiopexy. Eighteen of them were submitted to a single - stage standard subdartos orchiopexy, and two-stage orchiopexy for the remaining six with a success rate reaching 87.5%. There were no technical failures or laparoscopy-related complications in all of these children. We concluded that laparoscopic assisted orchiopexy is a satisfactory and reliable technique which has the advantage of being accurate diagnostic and proper therapeutic in one setting: