Laparoscopic management of the impalpable undescended testis

ABSTRACT

Laparoscopy has been applied for diagnosis and management in ten patients having 13 undescend testes. Their mean age was 17.1 ranging from 1 to 47 years. Three patients had bilateral, three left and four right undescended testes.2 patients had been previously unsuccessfully explored for the undescended testes. All the patients except one stayed for one day at hospital. 4 testes out of 13 were not present even no vas could be seen in one of them. Due to lack of equipment the procedure was only diagnostic in 2 cases. Fowler stephen's orchidopexy was attempted for four testes and succeeded in three. The authors think this manoever is the best for dealing with the impalpable testis because it allows good localization, satisfactory mobilization avoidance of extensive retroperitoneal dissection and decreasing postoperative adhesions and they adivse its usage