Diagnosis of Bilateral Abdominal Cryptorchidism by Laparoscopy

Cortesi, N; Ferrari, Paolo Albino; Zambarda, E; Manenti, Antonio; Baldini, A.; Morano, Federica

doi:10.1055/s-0028-1098372

Cited by 332 publications

(137 citation statements)

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“…One of the first indications for laparoscopy in pediatric urology was a nonpalpable testis, reported more than 30 years ago 35 . Originally this procedure was only for diagnostic purposes.…”

Section: Laparoscopic Orchidopexymentioning

confidence: 99%

Laparoscopy for the Undescended Testes

Nerli¹,

Reddy²,

Hiremath³

2011

Advanced Laparoscopy

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Section: Laparoscopic Orchidopexymentioning

confidence: 99%

Laparoscopy for the Undescended Testes

Nerli¹,

Reddy²,

Hiremath³

2011

Advanced Laparoscopy

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“…If testis can not be found, then the procedure is proceeded with open abdominal exploration. Use of laparoscopy was firstly recommended by Cortesi et al for this purpose [4] in 1976, and laparoscopic orchiopexy was firstly performed by Jordan et al in 1992. Nowadays, laparoscopic procedure is a gold standard in cases with nonpalpable testis, and it is used prevalently in many centers.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic management and its outcomes in cases with nonpalpable testis

Erdoğan¹,

Bahadır²,

Taşkınlar³

et al. 2017

Turkish Journal of Urology

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Objective: Diagnostic laparoscopy is the gold standard in the algorithm of nonpalpable testis. Testicular tissue is examined and treatment is planned accordingly. In this study we reviewed the place of diagnostic laparoscopy, and evaluated the results and effectiveness of laparoscopy in the diagnosis and management of nonpalpable testis. Material and methods:Children who had diagnostic laparoscopy for nonpalpable testes were included in the study. Physical examination results, ultrasonography (USG) reports, age at surgery, laparoscopic and inguinal exploration findings, surgical procedures, orchiopexy results, early and late-term complications were evaluated. Follow-up visits were performed at 3-month intervals for the first, at 6-month intervals for the 2. year, then at yearly intervals. Testicular size and location was evaluated by during control examination.Results: Overall 58 boys, and 68 testes (26 left: 44.8%; 22 right: 37.9%, and 10 bilateral: 17.2%) were included in the study. Mean age at surgery was 5.5 years (10 months-17 years). Diagnostic value of USG was 15.7%. Diagnostic laparoscopy findings were as follows: Group 1: blind-ended vessels, n=7 (10.2%); Group 2: intraabdominal testes, n=8 (11.7%); Group 3: vas and vessels entering internal ring, n=53 (77.9%). Overall 43 testes underwent orchiopexy, which were normal (n=8) or hypoplastic (n=35). Mean follow-up period was 19 months (1-12 years), and on an average 7 visits were performed (5-14). On follow-up, 5 testes were normal-sized and located in the scrotum, while 4 testes were atrophic and underwent orchiectomy. Two testes were found in the inguinal canal and redo orchiopexy was performed. Control USG revealed reduced testicular blood supply and volume. Conclusion:Laparoscopic surgery is safe and effective in the management of nonpalpable testes. In the majority, routine use of diagnostic laparoscopy in the algorithma does not confer any additional contributions in many patients.

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“…The previous attempts by division of testicular vessels to gain length had high testicular atrophy rates. However, the key stone for this technique was in 1959 when Fowler and Stephens [1] revised the vascular anatomy and divided testicular vessels high from the testis to maintain collateral blood supply, then in 1976 Cortesi et al [2] described laparoscopy as a diagnostic tool for impalpable testis. Since then, various contributions have been made to achieve good results in the management of high intrapelvic testis.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic one-stage Fowler-Stephens orchiopexy preserving gubernaculum

Naycı

Bahadır

Erdoğan

et al. 2017

Turkish Journal of Urology

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Objective: To assess gubernaculum-sparing laparoscopic one-stage Fowler-Stephens orchiopexy (FSO), in the management of high intrapelvic testis. Material and methods:Medical reports of boys who underwent laparoscopic one-stage FSO were retrospectively reviewed. High intrapelvic testis was defined as testis ≥3 cm away from ipsilateral internal ring. Testes were evaluated on physical examination at 3 rd , 6th and 18 th months after surgery. Children were evaluated as for their demographic data, operative findings, interventional details and outcomes.Results: Seven patients met inclusion criteria of the study. Six of 7 testis were small and had abnormal appearance, compared with the contralateral testis. Average distance of the testes from the internal ring was 4.2±1.1 cm (3 to 6). Average age at surgery was 6.1±4.2 years (2 to 12). Average follow-up period was 14±5.8 months (8 to 20), and 5 testis (71.4%) were considered to be normal in volume and scrotal location. Two testes were relatively atrophic and underwent orchiectomy. Conclusion:Our preliminary results shows a good testicular survival rate for one-stage laparoscopic FSO. Sparing collateral vasculature of the gubernaculum is important.

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Diagnosis of Bilateral Abdominal Cryptorchidism by Laparoscopy

Abstract: The authors report a case of abdominal retention of both testes, where the exact diagnosis was made by laparoscopy. They suggest the usefulness of laparoscopy also in urology.

Cited by 332 publications

References 0 publications

Laparoscopy for the Undescended Testes

Laparoscopy for the Undescended Testes

Laparoscopic management and its outcomes in cases with nonpalpable testis

Laparoscopic one-stage Fowler-Stephens orchiopexy preserving gubernaculum

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