Diagnostic laparoscopy for the management of impalpable testes

Ji Hyun Park, Yong Hyun Park, Kwanjin Park, Hwang Choi

Research output: Contribution to journalArticle

10 Citations (Scopus)

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 and Methods: 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.

Original languageEnglish
Pages (from-to)355-358
Number of pages4
JournalKorean Journal of Urology
Volume52
Issue number5
DOIs
StatePublished - 1 May 2011

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Laparoscopy
Testis
Orchiopexy
Inguinal Canal
Cryptorchidism
Orchiectomy
Spermatozoa
Ultrasonography

Keywords

  • Laparoscopy
  • Testis

Cite this

Park, Ji Hyun ; Park, Yong Hyun ; Park, Kwanjin ; Choi, Hwang. / Diagnostic laparoscopy for the management of impalpable testes. In: Korean Journal of Urology. 2011 ; Vol. 52, No. 5. pp. 355-358.
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Diagnostic laparoscopy for the management of impalpable testes. / Park, Ji Hyun; Park, Yong Hyun; Park, Kwanjin; Choi, Hwang.

In: Korean Journal of Urology, Vol. 52, No. 5, 01.05.2011, p. 355-358.

Research output: Contribution to journalArticle

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