Laparascopic management of non-palpable testis
DOI:
https://doi.org/10.55791/ymxag947Keywords:
Intrabdominal testis, elongationAbstract
We present a new approach to high intraabdominal testis (IAT) for elongation of the testicular vessels without division. The technique entails fixation of the testis to a point one inch above and medial to the contralateral anterior superior iliac spine for 12 weeks. Subdartos orchiopexy is then done as the second stage. Both stages are laparoscopically assisted. The a new approach to high intraabdominal testis, two-stage laparoscopic traction-orchiopexy, is useful and resulted in significant elongation of the testicular vessels without atrophy. It is a safe and valid alternative to the two-stage laparoscopic Fowler–Stephens technique, which entails division of the main testicular vessels.
References
Rajfer J. Congenital anomalies of the testis and scrotum. In: Walsh PC,Retick AB, Vaughan, editors. Campbell’s urology. 7th ed. Philadelphia, PA: WB Saunders; 1998. p. 2172.
Moore RG, Peter CA, Bauer SB, Mandell J, Retik AB. Laparoscopic evaluation of the nonpalpable testis: a prospective assessment of accuracy. J Urol 1994;151: 728e31.
Cortesi N, Ferrari P, Zambarda E, Manenti A, Baldini A, Morano FP. Diagnosis of bilateral abdominal cryptochidism by laparoscopy. Endoscopy 1976;8:33e4.
Esposotp C, Lima M, Mattioli G, Masiroianni L, Centonze A, Monguzzi GL, et al. Complications of pediatric urological laparoscopy: mistakes and risks. J Urol 2003;169:1490e2
Kato T, Kojima Y, Kamisawa H, Takeuchi M, Mizuno K, Sasaki S, et al. Findings of fat-suppressed T2-weighted and diffusion-weighted magnetic resonance imaging in the diagnosis of non-palpable testes. BJU Int 2010;107:290e4.
Fowler Jr R, Stephens FD. The role of testicular vascular anatomy in the salvage of high undescended testes. N Z J Surg 1959;29:92.
Docimo SG. The results of surgical therapy for cryptorchidism: a literature review and analysis. J Urol 1995;154:1148–52.
Rosito NC, KoffWJ, Da Silva Oliveira TL, et al. Volumetric and histological findings in intra-abdominal testes before and after division of spermatic vessels. J Urol 2004;171:2430–3.
X.Sepúlveda,P.L-Egaña Current management of non-palpable testes: a literature review and clinicalresults Transl Pediatr 2016;5(4):233-239
Hsu HS. Management of boys with nonpalpable undescended testes. Urological Science 2012;23:103-6
Stedman F, Bradshaw CJ, Kufeji D. Current practice and outcomes in the management of intra-abdominal testes. Eur J Pediatr Surg 2015;25(5):409–13.
Alagaratnam S, Nathaniel C, Cuckow P, et al. Testicular outcome following laparoscopic second stage Fowler-Stephens orchidopexy. J Pediatr Urol 2014;10:186–92.
Esposito C, Vallone G, Savanelli A, et al. Long-term outcome of laparoscopic Fowler-Stephens orchiopexy in boys with intra-abdominal testis. J Urol 2009;181:1851–6.
Silber SJ, Kelly J. Successful autotransplantation of an intra-abdominal testis to the scrotum by microvascular technique. J Urol 1976;115:452–4.
Harrison CB, Kaplan GW, Scherz HC, et al. Microvascular autotransplantation of the intra-abdominal testis. J Urol 1990;144:506–7.
Bianchi A.Microvascular orchiopexy for high undescended testes. Br J Urol 1984;56:521–4.
Garibyan H, Hazebroek FW, Schulkes JA, et al. Microvascular surgical orchiopexy in the treatment of high-lying undescended testes. Br J Urol 1984;56:326–9.
Shehata SM. Laparoscopically assisted gradual controlled traction on the testicular vessels: a newconcept in the management of abdominal testis. A preliminary report. Eur J Pediatr Surg 2008;18:402–6
Bagga D, Teckchandani N, Kumar V, et al. Predictive factors for successful vesselintact laparoscopic orchiopexy for intra-abdominal testes. J Pediatr Urol 2013;9:453–7.
Tackett LD, Patel SR, Caldamone AA. A history of cryptorchidism: lessons from the eighteenth century. J Pediatr Urol 2007;3:426–32.
Esposito C, Vallone G, Savanelli A, et al. Long-term outcome of laparoscopic Fowler-Stephens orchiopexy in boys with intra-abdominal testis. J Urol 2009; 181:1851–6.
Rosito NC, KoffWJ, Da Silva Oliveira TL, et al. Volumetric and histological findings in intra-abdominal testes before and after division of spermatic vessels. J Urol 2004;171:2430–3.
Shehata SM, Shehata SMK, Baky Fahmy MA. The intra-abdominal testis: lessons from the past, and ideas for the future. Pediatr Surg Int 2013;29:1039–45
Downloads
Published
License
Copyright (c) 2024 South-East European Endo-Surgery Journal
This work is licensed under a Creative Commons Attribution 4.0 International License.
