Alpha 2.0
Login Register
» Articles » PMID: 9244131

The Role of Laparoscopy in the Management of Impalpable Testes

Overview
Journal Pediatr Surg Int
Specialties General Surgery
Pediatrics
Date 1997 Jul 1
PMID 9244131
Citations 3
Authors
M A EL-GOHARY
Affiliations
Soon will be listed here.
Abstract

Both diagnostic and operative laparoscopy were used in the management of 68 impalpable testes. Twenty-three were either vanishing or atrophied, and were associated with a precarious blood supply. Two were found in the groin, 12 in the inguinal canal, and 32 at variable distances from the internal ring; of these, 2 were in a patient with persistent müllerian duct syndrome. Two atrophied abdominal testes were removed laparoscopically, 3 patients underwent a two-stage Fowler-Stephens procedure, and 28 underwent one-stage, laparoscopically assisted orchidopexy. An algorithm for surgical management of the impalpable testis based on laparoscopic findings is proposed.

Citing Articles

In Which Patients and Why Is Laparoscopy Helpful for the Impalpable Testis?.

Papparella A, Umano G, Romano M, Delehaye G, Cascone S, Trotta L Minim Invasive Surg. 2022; 2022:1564830.

PMID: 36249585 PMC: 9553680. DOI: 10.1155/2022/1564830.

Undescended Testes and Laparoscopy: Experience from the Developing World.

Dar S, Bali R, Zahoor Y, Rashid Kema A, Bhardwaj R Adv Urol. 2018; 2018:1620470.

PMID: 30473708 PMC: 6220417. DOI: 10.1155/2018/1620470.

Does the internal inguinal ring need closure during laparoscopic orchiopexy with Prentiss manoeuvre?.

Narayanan S, Puthenvariath J, Somnath P, Mohanan A Int Urol Nephrol. 2016; 49(1):13-15.

PMID: 27770240 DOI: 10.1007/s11255-016-1438-1.

References
1.
Cromie W . Congenital anomalies of the testis, vas epididymis, and inguinal canal. Urol Clin North Am. 1978; 5(1):237-52. View
2.
Nassar A . Laparoscopic-assisted orchidopexy: a new approach to the impalpable testis. J Pediatr Surg. 1995; 30(1):39-41. DOI: 10.1016/0022-3468(95)90605-3. View
3.
Ivanov A, Dewey C, Fahlenkamp D, Luning M . [MRT in nonpalpable testes]. Rofo. 1994; 160(3):249-53. DOI: 10.1055/s-2008-1032415. View
4.
Tosi S, MORIN L . The vanishing testis syndrome: indications for conservative therapy. J Urol. 1976; 115(6):758-9. DOI: 10.1016/s0022-5347(17)59367-2. View
5.
Azmy A, Lawson J . Abdominal testis with extended epididymis. Ann R Coll Surg Engl. 1979; 61(3):210-1. PMC: 2492780. View