Management of nonpalpable testis: laparoscopic approach
Objective: In the present study, we investigated the usefulness of laparoscopy in the diagnosis and treatment of nonpalpable testis. Material and Method: Fifteen patients with 19 nonpalpable testes underwent laparoscopy between January 2002 and December 2002. Laparoscopy revealed either absent testi...
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| Published in: | Indian journal of surgery Vol. 65; no. 5 |
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| Main Authors: | , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Medknow Publications on behalf of Association of Surgeons of India
01-09-2003
Medknow Publications and Media Pvt. Ltd |
| Subjects: | |
| Online Access: | Get full text |
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| Summary: | Objective: In the present study, we investigated the usefulness of
laparoscopy in the diagnosis and treatment of nonpalpable testis.
Material and Method: Fifteen patients with 19 nonpalpable testes
underwent laparoscopy between January 2002 and December 2002.
Laparoscopy revealed either absent testis, intra-abdominal testis or
inguinal testis. In cases of absent testes or vanishing testes, the
procedure was terminated. In cases of intra-abdominal testes,
laparoscopic orchidopexy or orchidectomy was carried out after placing
additional ports, and in cases of inguinal testes, routine groin
exploration was performed. Results: Two of the 19 testes (10.52%) were
absent and these patients were spared any further surgical
intervention. Eleven of the 19 testes (57.89%) were located
intra-abdominally and were managed successfully by means of
laparoscopic orchidopexy or orchidectomy. Six of the 19 testes (31.57%)
were in the inguinal canal and were managed by standard groin
exploration. No laparoscopy-related complications occurred.
Conclusion: This experience has made us believe that laparoscopy is a
very useful, reliable and safe procedure, crucial in the management of
nonpalpable testis. |
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| ISSN: | 0972-2068 0019-5650 |