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...

Full description

Bibliographic Details
Main Authors: S K Chowdhary, R K Chaudhury, P P Singh, Y Paljor, S C Joseph
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2000-01-01
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
_version_ 1811228069314166784
author S K Chowdhary
R K Chaudhury
P P Singh
Y Paljor
S C Joseph
author_facet S K Chowdhary
R K Chaudhury
P P Singh
Y Paljor
S C Joseph
author_sort S K Chowdhary
collection DOAJ
description 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.
first_indexed 2024-04-12T09:53:38Z
format Article
id doaj.art-b6177f54bc9e41cb95b25a3476aa5747
institution Directory Open Access Journal
issn 0970-1591
1998-3824
language English
last_indexed 2024-04-12T09:53:38Z
publishDate 2000-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Indian Journal of Urology
spelling doaj.art-b6177f54bc9e41cb95b25a3476aa57472022-12-22T03:37:47ZengWolters Kluwer Medknow PublicationsIndian Journal of Urology0970-15911998-38242000-01-011711315Role of laparoscopy in the management of impalpable testisS K ChowdharyR K ChaudhuryP P SinghY PaljorS C JosephAim: 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.http://www.indianjurol.com/article.asp?issn=0970-1591;year=2000;volume=17;issue=1;spage=13;epage=15;aulast=ChowdharyLaparoscopy; Impalpable Testis.
spellingShingle S K Chowdhary
R K Chaudhury
P P Singh
Y Paljor
S C Joseph
Role of laparoscopy in the management of impalpable testis
Indian Journal of Urology
Laparoscopy; Impalpable Testis.
title Role of laparoscopy in the management of impalpable testis
title_full Role of laparoscopy in the management of impalpable testis
title_fullStr Role of laparoscopy in the management of impalpable testis
title_full_unstemmed Role of laparoscopy in the management of impalpable testis
title_short Role of laparoscopy in the management of impalpable testis
title_sort role of laparoscopy in the management of impalpable testis
topic Laparoscopy; Impalpable Testis.
url http://www.indianjurol.com/article.asp?issn=0970-1591;year=2000;volume=17;issue=1;spage=13;epage=15;aulast=Chowdhary
work_keys_str_mv AT skchowdhary roleoflaparoscopyinthemanagementofimpalpabletestis
AT rkchaudhury roleoflaparoscopyinthemanagementofimpalpabletestis
AT ppsingh roleoflaparoscopyinthemanagementofimpalpabletestis
AT ypaljor roleoflaparoscopyinthemanagementofimpalpabletestis
AT scjoseph roleoflaparoscopyinthemanagementofimpalpabletestis