| Title | Laparoscopic orchidopexy for the intra-abdominal testis. | | Author(s) | Clark DA, Borzi PA | | Institution | Royal and Mater Childrens' Hospital, Brisbane, Queensland, Australia. | | Source | Pediatr Surg Int 1999; 15(7):454-6. | | MeSH | Adolescent
Child
Child, Preschool
Cryptorchidism
Humans
Infant
Laparoscopy
Male
Orchiectomy
Retrospective Studies
Scrotum
Treatment Outcome
Urologic Surgical Procedures, Male
| | Abstract | The role of laparoscopy in the management of the impalpable testis has been largely as a diagnostic tool only. Its therapeutic application as a single or two-stage Fowler-Stephens procedure for the intra-abdominal testis is assessed and a management algorithm derived. A retrospective review was performed of 26 children with 33 intra-abdominal testes (IAT) who were operated upon between 1992 and 1997; 5 had a single-stage (6 testes) and 21 had a staged approach. All children had the operated testis located in an acceptable scrotal position on review. Six operations were performed as a single-stage procedure. Four testes were palpably smaller at follow-up: 2 in the single-stage (33.3%) and 2 in the two-stage group (7%). Of the 26 children, 24 were day-case admissions. Minor self-limiting complications were observed in 5 cases. Laparoscopic localisation and Fowler-Stephens orchidopexy can be safely employed in the definitive management of the IAT. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 10525896 |
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