| Title | Laparoscopic evaluation of testicular mobility as a guide to management of intra-abdominal testes. | | Author(s) | Banieghbal B, Davies M | | Institution | Division of Paediatric Surgery, Chris Hani Baragwanath Hospital, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, Republic of South Africa. banieghbal@worldonline.co.za | | Source | World J Urol 2003 May; 20(6):343-5. | | MeSH | Adolescent
Anthropometry
Child
Child, Preschool
Cryptorchidism
Follow-Up Studies
Humans
Infant
Laparoscopy
Male
Movement
Outcome Assessment (Health Care)
Predictive Value of Tests
Reproducibility of Results
Testis
Urologic Surgical Procedures, Male
| | Abstract | The optimal management of intra-abdominal testes is the subject of an ongoing debate as the result of widespread use of laparoscopy since early 1990's. A simple laparoscopic technique uses cord mobility to act as a guide to cord length and therefore predict the success of a conventional orchidopexy in cases of true intra-abdominal testes. In the technique described, the testis is displaced by stretching the testes to overly the opposite internal inguinal ring. Over a 3-year period, a total of 36 boys with 38 intra-abdominal testes, confirmed laparoscopically, were prospectively assessed. The reported "stretching maneuver" was carried out in all cases. Successful conventional orchidopexy as predicted by a positive stretch maneuver was carried out in 20 testes. When the stretch maneuver failed, conventional 2-stage open operation was done in 3 patients and Fowler-Stephens orchidopexies for the remaining 13 children. A simple test determining testicular mobility assessed during laparoscopic evaluation of intra-abdominal testes provides information of significant importance upon which the correct surgical approach can be based. | | Language | eng | | Pub Type(s) | Journal Article
Validation Studies
| | PubMed ID | 12811493 |
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