Volume : VII, Issue : VI, June - 2018

Laparoscopy in Nonpalpable Undescended Testis

Dr. C. Sunil Kumar Reddy, Dr. K. Harini

Abstract :

Aim: Laparoscopy is the mainstay in the treatment of nonpalpable undescended testis. The aim of this study is to analyze the role of laparoscopy in nonpalpable undescendedtestis.Materials and Methods: This is retrospective study of children who underwent laparoscopy for nonpalpable undescended testis from 2014 to 2017. 34 patients with 36 nonpalpable testis were operated and the demographic data, clinical examination, laparoscopic findings, operative time, procedure, hospital stay and complicationswerecollected and analyzed. Results: 34 children with nonpalpable testis underwent laparoscopy with the mean age was 2.6yrs. Nineteen patients had left-sided nonpalpable testis, 13 had right-sided nonpalpable testis, and two bilateral nonpalpable testis. Of the 36 clinically nonpalpable testis, on laparoscopy 23 were intra-abdominal (2 high-lying and 21 low-lying), 9 canalicular, 3 nubbin testis and 1 vanishing testis. 23 patients underwent laparoscopic orchiopexy(21 single-staged orchiopexy and 2 two-staged Fowler–Stephens procedure), 12 underwent inguinal exploration following laparoscopy.Mean operating time was 65 min. Only minor complications were noted. Conclusions: Laparoscopy in nonpalpable undescended testis is safe and effective. Laparoscopy is both diagnostic and therapeutic and helps to plan the procedure as per the laparoscopic findings. It also prevents unnecessary intervention in case of vanishing testis.Minimal use of electrocautery, good mobilisation of the intra-abdominal testis with preservation of vascularity is associated with successful surgery.

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Article: Download PDF    DOI : https://www.doi.org/10.36106/gjra  

Cite This Article:

Dr.C.Sunil Kumar Reddy, Dr.K.Harini, Laparoscopy in Nonpalpable Undescended Testis, GLOBAL JOURNAL FOR RESEARCH ANALYSIS : Volume-7 | Issue-6 | June-2018

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