Groin exploration for nonpalpable testes: Laparoscopic approach

Schleef, Jürgen; Bismarck, S. von; Burmucic, K.; Gutmann, A.; Mayr, Johannes

doi:10.1053/jpsu.2002.36183

Cited by 18 publications

(12 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Recently, some authors have also proposed a laparoscopic groin exploration after a finding of hypoplastic spermatic vessels in the internal inguinal ring [17].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic management of nonpalpable testes: A multicenter study of the Italian Society of Video Surgery in Infancy

Papparella

Parmeggiani

Cobellis³

et al. 2005

Journal of Pediatric Surgery

View full text Add to dashboard Cite

“…Recently, some authors have also proposed a laparoscopic groin exploration after a finding of hypoplastic spermatic vessels in the internal inguinal ring [17].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic management of nonpalpable testes: A multicenter study of the Italian Society of Video Surgery in Infancy

Papparella

Parmeggiani

Cobellis³

et al. 2005

Journal of Pediatric Surgery

View full text Add to dashboard Cite

“…Schleef et al (19) suggest the inguinal laparoscopic exploration in cases where one can observe hypoplastic elements of the spermatic cord penetrating the internal inguinal ring. Such study, based also in findings from other works (20)(21)(22), suggests the hypothesis that in cases where hypoplastic elements of the spermatic cord penetrate a closed internal inguinal ring, there is never a normal testis in the inguinal canal.…”

Section: Discussionmentioning

confidence: 99%

“…In 54% of the children in this sample, the exploration of the inguinal pathway was performed by inguinotomy after the laparoscopic identification of spermatic vessels penetrating the internal inguinal ring. Nevertheless, data from the literature (19)(20)(21)(22) show that even in these cases it is possible to perform orchiopexy by laparoscopic exploration of the inguinal pathway. This approach would have the advantage of avoiding the performance of an inguinotomy in patients whose procedure had already been initiated by laparoscopic route.…”

Section: Discussionmentioning

confidence: 99%

The role of videolaparoscopy in the diagnostic and therapeutic approach of nonpalpable testis

et al. 2003

View full text Add to dashboard Cite

Objective: Evaluate the results from the first 5 years of experience with laparoscopy for diagnosis and treatment of nonpalpable testes.Materials and Methods: Medical records of 51 patients submitted to laparoscopic testicular exploration, during a 5-year period, were retrospectively analyzed. Patients' mean age was 65.7 months (median = 48) on the first procedure. The youngest patient was 10 months and the oldest was 14 years old on the first surgery. Twenty-four (47%) patients presented nonpalpable testes bilaterally, 7 (14%) only at the right side and 20 (39%) at the left, totaling 75 testicular units assessed. Patients who had their testes palpated after anesthetic induction were excluded from the study, and in all other cases, surgical management was based on the testicular position and viability. During the post-operative follow-up, surgical success was classified as palpable testis in scrotal sac, with adequate consistency and volume.Results: Nine (12%) testes were not localized, but their vessels and deferent duct were atrophic. Two (3%) testes were intra-abdominal and atrophic, and 2 (3%) gonads, in the same patient, had a dysmorphic aspect. Nineteen (25%) testicular units were located close to the internal inguinal ring (peeping testes) and, in 22 (29%) units, the spermatic vessels and deferent duct penetrated the internal inguinal ring. Eight (10%) testes were located at a distance of less than 2 cm from the internal inguinal ring and 13 (17%) at a distance greater than 2 cm. The 2 intra-abdominal atrophic testes were removed. Inguinotomy was performed in a total of 41 (54%) cases, reaching a surgical success of 89%. Laparoscopic orchiopexy in one stage, without vascular ligation, was performed in 9 (12%) testes, which presented a distance of less than 2 cm from the internal inguinal ring, also with a surgical success index of 89%. Orchiopexy in 2 stages, with ligation of the spermatic vessels, was performed in 13 (17%) testicular units located at a distance greater than 2 cm from the internal inguinal ring, reaching 77% of good results.Conclusion: Videolaparoscopy is a safe and effective method for diagnosis and treatment of nonpalpable testis.

show abstract

“…Beide Methoden sind als gleichwertig zu betrachten. Da in etwa 5% der Fälle die Operation mit dem ge wählten Verfahren nicht erfolgreich been det werden kann, sollte während des Ein griffs auf das jeweils andere Verfahren ge wechselt werden können [35,36]. Bei 9,8% der Jungen wird bei abdominalen Hoden eine Hodenaplasie diagnostiziert [13].…”

Section: Operative Therapieunclassified

“…Histologische Befun de einer Inflammation und vermehrter Apoptose bei Kindern, die nach dem 1. Geburtstag mit HCG behandelt wurden, sind publiziert worden, jedoch sind diese Beobachtungen nicht unumstritten, v. a. aufgrund methodischer Mängel dieser Publikationen (Selektionsbias der unter suchten Patienten, sowohl absente Alters angaben als auch fehlende Differenzie rungen von unilateralem zu bilateralem Hodenhochstand [17,18,30] [4,21].…”

Section: Introductionunclassified

Hodenhochstand und Infertilität unter besonderer Berücksichtigung der interdisziplinären Leitlinie

Mathers

Degener

Roth

2011

Urologe

View full text Add to dashboard Cite

Cryptorchidism is the most common genital disorder in boys. Early-born boys are affected in up to one third of the cases, while about 2-5% of full-term newborns suffer from at least one undescended testicle. As a result of short-term endogenous testosterone secretion after birth the prevalence decreases to 1-2% after 3 months. According to most studies, watchful waiting after 6 months is not justified because after this time spontaneous testicular descent only very rarely occurs. Even though the effects of testicular development and fertility in undescended testis have been extensively examined, the only fact that remains certain is that approximately 90% of untreated men with bilateral cryptorchidism develop azoospermia. The remaining scenarios of cryptorchidism (unilateral, ectopic, inguinal, treated or not treated) exhibit unpredictable fertility and likelihood of fatherhood.

show abstract

Groin exploration for nonpalpable testes: Laparoscopic approach

Cited by 18 publications

References 12 publications

Laparoscopic management of nonpalpable testes: A multicenter study of the Italian Society of Video Surgery in Infancy

Laparoscopic management of nonpalpable testes: A multicenter study of the Italian Society of Video Surgery in Infancy

The role of videolaparoscopy in the diagnostic and therapeutic approach of nonpalpable testis

Hodenhochstand und Infertilität unter besonderer Berücksichtigung der interdisziplinären Leitlinie

Contact Info

Product

Resources

About