Role of laparoscopy in the management of impalpable testis
Aim: A study to evaluate the safety and efficacy of laparoscopy using conventional laparoscopy equipment in children presenting with impalpable testis. Patients and Methods: Prospective study to include all boys referred with impalpable testis between 2 yrs-12 yrs. Examination under sedation (Chlor...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2000-01-01
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| Series: | Indian Journal of Urology |
| Subjects: | |
| Online Access: | http://www.indianjurol.com/article.asp?issn=0970-1591;year=2000;volume=17;issue=1;spage=13;epage=15;aulast=Chowdhary |
| Summary: | Aim: A study to evaluate the safety and efficacy of laparoscopy using conventional laparoscopy equipment in children presenting with impalpable testis.
Patients and Methods: Prospective study to include all boys referred with impalpable testis between 2 yrs-12 yrs. Examination under sedation (Chloral hydrate 50-75 mg/ kg oral) by a consultant pediatric surgeon. Period of study included all consecutive boys referred between October 97-October 98. A database was created to enter clinical details, imaging studies, laparoscopic findings, surgery and outcome.
Results: 13 consecutive boys included in the study with 15 impalpable testes. 2 testes could not be located on laparoscopy. 6 testes were located on laparoscopy, 4 near the internal ring and 1 each at the bifurcation of iliac vessels and paravesical region. All 6 underwentfirst-stage Fowler Stephens orchidopexy followed by second-stage in 5 of them. The other 7 underwent conventional or-chidopexy for canalicular testes.
Conclusions: Laparoscopy is a safe and effective method of evaluating and treating a child with impalpa-ble testis. Conventional adult equipment used in trained hands is safe for use in normal children older than 2 years. |
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| ISSN: | 0970-1591 1998-3824 |