Laparoscopic diagnosis and treatment of nonpalpable testis
INTRODUCTION: Treatment of the cryptorchid testicle is justified due to the increased risk of infertility and malignancy as well as the risk of testicular trauma and psychological stigma on patients and their parents. Approximately 20% of cryptorchid testicles are nonpalpable. In these cases, the vi...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Sociedade Brasileira de Urologia
2008-06-01
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| Series: | International Brazilian Journal of Urology |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382008000300010 |
| _version_ | 1828490233201557504 |
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| author | Francisco T. Denes Fernando J. Saito Frederico A. Silva Amilcar M. Giron Marcos Machado Miguel Srougi |
| author_facet | Francisco T. Denes Fernando J. Saito Frederico A. Silva Amilcar M. Giron Marcos Machado Miguel Srougi |
| author_sort | Francisco T. Denes |
| collection | DOAJ |
| description | INTRODUCTION: Treatment of the cryptorchid testicle is justified due to the increased risk of infertility and malignancy as well as the risk of testicular trauma and psychological stigma on patients and their parents. Approximately 20% of cryptorchid testicles are nonpalpable. In these cases, the videolaparoscopic technique is a useful alternative method for diagnosis and treatment. MATERIALS AND METHODS: We present data concerning 90 patients submitted to diagnostic laparoscopy for impalpable testicles. Forty-six patients (51.1%) had intra-abdominal gonads. In 25 testicles of 19 patients, we performed a two stage laparoscopic Fowler-Stephens orchiopexy. The other 27 patients underwent primary laparoscopic orchiopexy, in a total of 29 testicles. RESULTS: We obtained an overall 88% success rate with the 2 stage Fowler-Stephens approach and only 33% rate success using one stage Fowler-Stephens surgery with primary vascular ligature. There was no intraoperative complication in our group of patients. In the laparoscopic procedures, the cosmetic aspect is remarkably more favorable as compared to open surgeries. Hospital stay and convalescence were brief. CONCLUSIONS: In pediatric age group, the laparoscopic approach is safe and feasible. Furthermore, the laparoscopic orchiopexy presents excellent results in terms of diagnosis and therapy of the impalpable testis, which is why this technique has been routinely incorporated in our Department. |
| first_indexed | 2024-12-11T10:39:59Z |
| format | Article |
| id | doaj.art-280464ca06124863971581accff3c97c |
| institution | Directory Open Access Journal |
| issn | 1677-5538 1677-6119 |
| language | English |
| last_indexed | 2024-12-11T10:39:59Z |
| publishDate | 2008-06-01 |
| publisher | Sociedade Brasileira de Urologia |
| record_format | Article |
| series | International Brazilian Journal of Urology |
| spelling | doaj.art-280464ca06124863971581accff3c97c2022-12-22T01:10:36ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-55381677-61192008-06-0134332933510.1590/S1677-55382008000300010Laparoscopic diagnosis and treatment of nonpalpable testisFrancisco T. DenesFernando J. SaitoFrederico A. SilvaAmilcar M. GironMarcos MachadoMiguel SrougiINTRODUCTION: Treatment of the cryptorchid testicle is justified due to the increased risk of infertility and malignancy as well as the risk of testicular trauma and psychological stigma on patients and their parents. Approximately 20% of cryptorchid testicles are nonpalpable. In these cases, the videolaparoscopic technique is a useful alternative method for diagnosis and treatment. MATERIALS AND METHODS: We present data concerning 90 patients submitted to diagnostic laparoscopy for impalpable testicles. Forty-six patients (51.1%) had intra-abdominal gonads. In 25 testicles of 19 patients, we performed a two stage laparoscopic Fowler-Stephens orchiopexy. The other 27 patients underwent primary laparoscopic orchiopexy, in a total of 29 testicles. RESULTS: We obtained an overall 88% success rate with the 2 stage Fowler-Stephens approach and only 33% rate success using one stage Fowler-Stephens surgery with primary vascular ligature. There was no intraoperative complication in our group of patients. In the laparoscopic procedures, the cosmetic aspect is remarkably more favorable as compared to open surgeries. Hospital stay and convalescence were brief. CONCLUSIONS: In pediatric age group, the laparoscopic approach is safe and feasible. Furthermore, the laparoscopic orchiopexy presents excellent results in terms of diagnosis and therapy of the impalpable testis, which is why this technique has been routinely incorporated in our Department.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382008000300010testiscryptorchidismlaparoscopy |
| spellingShingle | Francisco T. Denes Fernando J. Saito Frederico A. Silva Amilcar M. Giron Marcos Machado Miguel Srougi Laparoscopic diagnosis and treatment of nonpalpable testis International Brazilian Journal of Urology testis cryptorchidism laparoscopy |
| title | Laparoscopic diagnosis and treatment of nonpalpable testis |
| title_full | Laparoscopic diagnosis and treatment of nonpalpable testis |
| title_fullStr | Laparoscopic diagnosis and treatment of nonpalpable testis |
| title_full_unstemmed | Laparoscopic diagnosis and treatment of nonpalpable testis |
| title_short | Laparoscopic diagnosis and treatment of nonpalpable testis |
| title_sort | laparoscopic diagnosis and treatment of nonpalpable testis |
| topic | testis cryptorchidism laparoscopy |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382008000300010 |
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