Document Detail

Laparoscopic management of the impalpable abdominal testis.
MedLine Citation:
PMID:  7901932     Owner:  NLM     Status:  MEDLINE    
Laparoscopy is useful in both diagnosis and management of impalpable testes. Intra-abdominal testicles can be removed laparoscopically if atrophic or can be partly devascularized by spermatic vessel clipping if apparently normal. Assessment of testicular revascularization would be desirable prior to subsequent orchiopexy. A second-stage vasal-based orchidopexy than can be performed once adequate testicular reperfusion via the deferential pedicle is believed to have occurred. We have used both diagnostic and therapeutic laparoscopy in the management of 103 non-palpable testes over a period of six years. Open procedures following laparoscopy included 57 orchidopexies, 11 orchiectomies, and 1 microvascular testicular autotransplant. Thirteen laparoscopic interventions were performed: 5 orchietomies for atrophic testes and 8 testicular vessel clippings followed by 6 second-stage open inguinal orchidopexies. Color Doppler duplex ultrasonography was not found to be reliable for assessment of testicular revascularization following spermatic vessel clipping. There were 3 complications which were all related to puncture with the Veress needle.
D Poenaru; Y L Homsy; F Péloquin; G O Andze
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Urology     Volume:  42     ISSN:  0090-4295     ISO Abbreviation:  Urology     Publication Date:  1993 Nov 
Date Detail:
Created Date:  1993-12-07     Completed Date:  1993-12-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0366151     Medline TA:  Urology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  574-8; discussion 578-9     Citation Subset:  IM    
Division of Pediatric Urology, Hôpital Sainte-Justine, Montreal, Quebec, Canada.
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MeSH Terms
Child, Preschool
Cryptorchidism / diagnosis,  surgery*
Testis / blood supply,  surgery

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