Diagnostic Laparoscopy for the Management of Impalpable Testes
Korean Journal of Urology
;
: 355-358, 2011.
Article
in English
| WPRIM
| ID: wpr-226014
ABSTRACT
PURPOSE:
Controversy exists regarding the best approach to impalpable testes. We determined the usefulness of diagnostic laparoscopy for the management of impalpable testes. MATERIALS ANDMETHODS:
Between 2000 and 2008, 86 patients with a mean age of 34 months underwent diagnostic laparoscopy. An inguinal canal exploration was performed in all cases, except in patients in whom the internal spermatic vessels terminated intraperitoneally with a blind end.RESULTS:
The undescended testis was right-sided in 24 patients (27.9%), left-sided in 47 patients (54.7%), and bilateral in 15 patients (17.4%). Three patients (3.5%) had bilateral impalpable testes. The vas and vessels traversed the internal ring in 51 of 89 impalpable testes (57.3%); 20 (22.5%) were localized intraperitoneally, and 18 (20.2%) were diagnosed as vanishing testes. Open orchiopexies were performed on 24 testes (27.0%) and orchiectomies were performed on 43 nubbin testes (48.3%). After a mean follow-up period of 30 months, 12 of the 14 testes (85.7%) were viable following open conventional orchiopexy, compared with 6 of the 10 testes (60%) following a 1-stage Fowler-Stephens orchiopexy.CONCLUSIONS:
Diagnostic laparoscopy is a very helpful and minimally invasive technique in the diagnosis of impalpable testes, especially when preoperative ultrasonography is not sufficiently informative.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Testis
/
Orchiectomy
/
Follow-Up Studies
/
Laparoscopy
/
Cryptorchidism
/
Orchiopexy
/
Gonadal Dysgenesis, 46,XY
/
Inguinal Canal
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
Limits:
Humans
/
Male
Language:
English
Journal:
Korean Journal of Urology
Year:
2011
Type:
Article
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