37932

Role of Laparoscopy in Management of Non-Palpable Undescended Testis in Children

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Last updated: 03 Jan 2025

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Abstract

Background: Several techniques have been described for treatment of intra-abdominal testis including microsurgical autotransplantation, primary laparoscopic orchiopexy (VILO), one- and two-stage laparoscopic Fowler–Stephens procedures, and staged laparoscopic traction orchiopexy (Shehata technique). Aim of the work: To evaluate the role of laparoscopy in the treatment of non-palpable undescended testis. Patients and methods: This study was carried out in the Pediatric Surgery Unit, Tanta University Hospitals, during the period from April 2017 to October 2018, on 37 cryptorchid boys with 40 non-palpable testes. The mean age of the patients was 3.46 ± SD 3.1 years. Laparoscopic exploration was done for all cases, and if testes were found intraabdominally, with rough measurement of the length oftesticular vessels (TV), decision was taken either to do VILO or Shehata technique. Results: Out of 40 testes, 17 testes (42.5%) were vanishing, 3 intra-abdominal testes (7.5%) with long TV enough to undergo VILO, and 20 intra-abdominal testes (50%) with short testicular vessels underwent Shehata technique. Follow up for 3 -12 months postoperatively showed that all 3 testes underwent VILO were normal in size and vascularity. While the 20 testes underwentShehata technique, 19/20 (95%) testes were normal in size, while small testis was detected in 1/20 testis (5%). Conclusion: VILO has excellent results in management ofintra-abdominal testes with sufficient TV length while Shehata technique has excellent results in management ofintra-abdominal testis with short TV

DOI

10.21608/ejhm.2019.37932

Keywords

Laparoscopy, intra abdominalt estis, primary laparoscopic orchiopexy, Fowler–Stephens procedures, Shehata technique

Authors

First Name

Mohamed M.

Last Name

AbdElsalam

MiddleName

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Affiliation

Pediatric Surgery Department. Faculty of Medicine. Tanta University

Email

dr_medo_mas_4040@yahoo.com

City

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Orcid

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First Name

Khalid M.

Last Name

Elshimy

MiddleName

-

Affiliation

Pediatric Surgery Department. Faculty of Medicine. Tanta University

Email

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City

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Orcid

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First Name

Akram M.

Last Name

Elbatarny

MiddleName

-

Affiliation

Pediatric Surgery Department. Faculty of Medicine. Tanta University

Email

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City

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Orcid

-

First Name

Mahmoud A.

Last Name

Elafifi

MiddleName

-

Affiliation

Pediatric Surgery Department. Faculty of Medicine. Tanta University

Email

-

City

-

Orcid

-

Volume

76

Article Issue

2

Related Issue

6104

Issue Date

2019-07-01

Receive Date

2019-06-29

Publish Date

2019-07-01

Page Start

3,454

Page End

3,459

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_37932.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=37932

Order

11

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Role of Laparoscopy in Management of Non-Palpable Undescended Testis in Children

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Article

Created At

22 Jan 2023