Laparoscopic treatment for adult inguinal hernia with cryptorchidism: A case report

Wakabayashi, Masakazu; Aoki, Kana; Yoshida, Hayato; Kimura, Tomohiro; Domoto, Yoshinori; Miki, Hirokazu; Funatsu, Kentarou; Aisaki, Kazuo; Hokari, Takeo

doi:10.1016/j.ijscr.2020.09.008

Cited by 4 publications

(2 citation statements)

References 11 publications

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“…The inclusion criteria for this study were as follows: [ 1 ] adult males, [ 2 ] patients with unilateral/bilateral cryptorchidism, and [ 3 ] patients with a strong desire to procreate or a strong desire for testicular preservation. The exclusion criteria in this study were as follows: [ 1 ] significant testicular atrophy revealed through laparoscopic exploration; [ 2 ] undescended testes with evidence of deterioration; [ 3 ] comorbid severe cardiovascular disease, diabetes mellitus, liver dysfunction, renal disease, and severe hematological disorders; and [ 4 ] contraindications to general anesthesia. We identified 37 adult cryptorchidism patients aged 30.92 ± 9.1 years between November 2017 and February 2022 (Table 1 ).…”

Section: Methodsmentioning

confidence: 99%

“…Cryptorchidism is usually diagnosed and treated in childhood, and adult patients with cryptorchidism are relatively rare. Current literature reports on treating cryptorchidism in adults are scarce, and most are case reports [ 3 – 6 ]. In this study, we investigated the safety and efficacy of laparoscopic orchidopexy for the treatment of cryptorchidism in adults to highlight the technique and outcomes.…”

Section: Introductionmentioning

confidence: 99%

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Laparoscopic orchidopexy for the treatment of cryptorchidism in adults: a description of the technique and outcomes

Han,

Li,

Lei

et al. 2024

BMC Urol

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Background There are few studies on cryptorchidism in adults, and its treatment is still controversial. Methods To summarize the surgical strategy and clinical efficacy of laparoscopic orchidopexy for the treatment of cryptorchidism in adults, 37 adult cryptorchidism patients were retrospectively analyzed between September 2017 and February 2022. All 37 patients underwent laparoscopic orchidopexy, of whom 33 underwent inguinal hernia repair without tension. The intraoperative procedures and surgical techniques were recorded in detail. Preoperative examination and regular postoperative review of color Doppler ultrasound, and reproductive hormone, alpha-fetoprotein, human chorionic gonadotropin, and lactate dehydrogenase levels were performed. Results All testes descended successfully into the scrotum, including 25 through the inguinal route and 12 through Hesselbach’s triangle route. No intraoperative or postoperative complications were observed. The follow-up time was 38.6 (± 19.4) months, and no evidence of testicular malignancy was found during the follow-up period. After analyzing the reproductive hormone levels at 1 year postoperatively in 28 patients with more than 1 year of follow-up, it was found that the patients had a significant increase in testosterone levels and a decrease in follicle-stimulating hormone levels after surgery. None of the patients showed any significant improvement in semen quality after surgery. Conclusion Our study suggests that laparoscopic orchidopexy is a safe and feasible surgical procedure for the treatment of cryptorchidism in adults, especially high cryptorchidism, which is difficult to treat. After comprehensive consideration, preserving the testis should be preferred for treating cryptorchidism in adults to maximize the protection of the patient’s reproductive hormone secretion function.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Laparoscopic orchidopexy for the treatment of cryptorchidism in adults: a description of the technique and outcomes

Han,

Li,

Lei

et al. 2024

BMC Urol

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An adult right inguinal hernia and cryptorchidism treated simultaneously with laparoscopic transabdominal preperitoneal repair and laparoscopic orchiectomy: a case report

Kimura,

Miyagawa,

Miyao

et al. 2024

Journal of Surgical Case Reports

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Pediatric health checkups have been mandatory for all citizens since 1966 based on the Maternal and Child Health Law in Japan, and cryptorchidism or undescended testis in adult males are rare. We report a case of an adult right inguinal hernia and cryptorchidism treated simultaneously with laparoscopic transabdominal preperitoneal repair and laparoscopic orchiectomy. A 35-year-old man came to our department with a chief complaint of bulging in the right inguinal region for several months. He was diagnosed with a right inguinal hernia and was scheduled for transabdominal preperitoneal repair. During intraoperative intraperitoneal observation, a white 30-mm mass was found in the hernia orifice. A diagnosis of right cryptorchidism was made, and transabdominal preperitoneal repair and laparoscopic orchiectomy were performed. Laparoscopic simultaneous surgery could be safely performed in an adult patient with a hernia complicated by a cryptorchidism. It can be recommended as a surgical option in such cases.

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Inguinal Hernia Complicated by Traumatic Testicular Dislocation in an Adult—A Case Report—

Matoba¹,

Tanemura²,

Matsumoto³

et al. 2021

Nihon Rinsho Geka Gakkai Zasshi (J Jpn Surg Assoc)

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Laparoscopic treatment for adult inguinal hernia with cryptorchidism: A case report

Cited by 4 publications

References 11 publications

Laparoscopic orchidopexy for the treatment of cryptorchidism in adults: a description of the technique and outcomes

Laparoscopic orchidopexy for the treatment of cryptorchidism in adults: a description of the technique and outcomes

An adult right inguinal hernia and cryptorchidism treated simultaneously with laparoscopic transabdominal preperitoneal repair and laparoscopic orchiectomy: a case report

Inguinal Hernia Complicated by Traumatic Testicular Dislocation in an Adult—A Case Report—

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