The impalpable testis - looking through the laparoscope

The impalpable testis - looking through the laparoscope
Md. Ashrarur Rahman1, KMN Ferdous2, Asif Mahmud3, Rashedul Alam4

Background: Of the various modalities for management of impalpable undescended
testis, the use of laparoscopy or keyhole surgery is being widely accepted.
Objective: To assess the effectiveness of laparoscopy in the management of impalpable
testis in paediatric patients.
Methods: This prospective study was carried out in the department of Paediatric
Surgery, Dhaka Shishu (Children) Hospital during the period March 2007 to January
2010. Twenty children with clinically impalpable testis were included in the study.
An ultrasound was advised for each case to determine the location of the testis before
surgery. All patients underwent a diagnostic laparoscopy.
Results: The age ranged from 1 & 12 years. Right testis was impalpable in 45% of the
cases & left in 35%, whereas 20% were bilateral impalpable undescended testis. Twenty
patients underwent single stage surgery, only 1 required staged procedures. Mean
hospital stay was 48 hours. All 20 patients recovered well. Mean follow up period was
3 months.
Conclusion: Laparoscopy is an important tool in the management of impalpable
undescended testis.

Keywords: Laparoscopy, Impalpable testis, Orchiopexy

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