Laparoscopic evaluation and treatment of the impalpable testis
Autor(a) principal: | |
---|---|
Data de Publicação: | 2001 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://www.brazjurol.com.br/julho_2001/Denes_380_385.pdf http://hdl.handle.net/11449/66442 |
Resumo: | Objectives: To evaluate the laparoscopic technique as a diagnostic and therapeutic tool in the management of patients with impalpable testis. Material and Methods: Fifty-nine patients with mean age of 6.3 years underwent laparoscopy to evaluate 85 impalpable testes that were classified as absent, canalicular and intra-abdominal. In the case of testicular absence, the procedure was terminated. In the case of canalicular testis, open inguinal exploration was performed. In intra-abdominal testis, either laparoscopic orchiopexy or orchiectomy was performed. According to the length of the vascular pedicle, orchipexy was performed either with or without vascular ligature. Post-operatively, the treated testes were evaluated according to size and location in the scrotum. Results: Seventeen (20%) of the 85 impalpable testes were diagnosed as absent, 21 (24.7%) as canalicular and 47 (55.3%) as intra-abdominal. Of the canalicular testes, 20 were explored by inguinotomy and one by laparoscopy. All the intra-abdominal testes were treated initially by laparoscopy, four being removed due to atrophy, 31 submitted to vascular ligature and 12 to primary orchipexy. Of those submitted to vascular ligature, 22 underwent a second stage orchipexy, of which 18 laparoscopically and 4 by inguinotomy. Of the 18 testes brought to the scrotum by staged laparoscopic orchipexy, 15 (83.3%) presented normal characteristics in the late follow-up, while of the 12 submitted to primary laparoscopic orchipexy, 8 (66.6%) were normal. There were no perioperative or late complications. Conclusions: Laparoscopy is a minimally invasive procedure with low morbidity that enables precise diagnosis of the impalpable testes. When intra-abdominal testes are found, either immediate laparoscopic orchiectomy, or primary and staged orchipexy are possible, with results equivalent to open procedures, with the advantage of smaller surgical incisions and shorter postoperative recovery. |
id |
UNSP_6b491f5b34a570cc447d07ea851a085f |
---|---|
oai_identifier_str |
oai:repositorio.unesp.br:11449/66442 |
network_acronym_str |
UNSP |
network_name_str |
Repositório Institucional da UNESP |
repository_id_str |
2946 |
spelling |
Laparoscopic evaluation and treatment of the impalpable testisCryptorchidismDiagnosisLaparoscopyTestisTreatmentanorchiachildcontrolled studycryptorchismdiagnostic accuracydiagnostic procedureectopic testisfollow uphumanligationmajor clinical studymaleminimally invasive surgerymorbidityorchidopexyorchiectomypatient codingperoperative complicationpostoperative complicationscrotumtestis atrophytestis diseaseObjectives: To evaluate the laparoscopic technique as a diagnostic and therapeutic tool in the management of patients with impalpable testis. Material and Methods: Fifty-nine patients with mean age of 6.3 years underwent laparoscopy to evaluate 85 impalpable testes that were classified as absent, canalicular and intra-abdominal. In the case of testicular absence, the procedure was terminated. In the case of canalicular testis, open inguinal exploration was performed. In intra-abdominal testis, either laparoscopic orchiopexy or orchiectomy was performed. According to the length of the vascular pedicle, orchipexy was performed either with or without vascular ligature. Post-operatively, the treated testes were evaluated according to size and location in the scrotum. Results: Seventeen (20%) of the 85 impalpable testes were diagnosed as absent, 21 (24.7%) as canalicular and 47 (55.3%) as intra-abdominal. Of the canalicular testes, 20 were explored by inguinotomy and one by laparoscopy. All the intra-abdominal testes were treated initially by laparoscopy, four being removed due to atrophy, 31 submitted to vascular ligature and 12 to primary orchipexy. Of those submitted to vascular ligature, 22 underwent a second stage orchipexy, of which 18 laparoscopically and 4 by inguinotomy. Of the 18 testes brought to the scrotum by staged laparoscopic orchipexy, 15 (83.3%) presented normal characteristics in the late follow-up, while of the 12 submitted to primary laparoscopic orchipexy, 8 (66.6%) were normal. There were no perioperative or late complications. Conclusions: Laparoscopy is a minimally invasive procedure with low morbidity that enables precise diagnosis of the impalpable testes. When intra-abdominal testes are found, either immediate laparoscopic orchiectomy, or primary and staged orchipexy are possible, with results equivalent to open procedures, with the advantage of smaller surgical incisions and shorter postoperative recovery.Unit of Pediatric Urology Division of Urology State University of São Paulo, Rua Curuzú 114, São Paulo, SP 05084-020Universidade Estadual Paulista (Unesp)Dénes, F. T.Silva, F. A QGirón, A. M.Arap, S.2014-05-27T11:20:14Z2014-05-27T11:20:14Z2001-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article380-385application/pdfhttp://www.brazjurol.com.br/julho_2001/Denes_380_385.pdfBrazilian Journal of Urology, v. 27, n. 4, p. 380-385, 2001.1517-6878http://hdl.handle.net/11449/664422-s2.0-00348419052-s2.0-0034841905.pdfScopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengBrazilian Journal of Urologyinfo:eu-repo/semantics/openAccess2023-10-09T06:04:51Zoai:repositorio.unesp.br:11449/66442Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T14:26:32.629808Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Laparoscopic evaluation and treatment of the impalpable testis |
title |
Laparoscopic evaluation and treatment of the impalpable testis |
spellingShingle |
Laparoscopic evaluation and treatment of the impalpable testis Dénes, F. T. Cryptorchidism Diagnosis Laparoscopy Testis Treatment anorchia child controlled study cryptorchism diagnostic accuracy diagnostic procedure ectopic testis follow up human ligation major clinical study male minimally invasive surgery morbidity orchidopexy orchiectomy patient coding peroperative complication postoperative complication scrotum testis atrophy testis disease |
title_short |
Laparoscopic evaluation and treatment of the impalpable testis |
title_full |
Laparoscopic evaluation and treatment of the impalpable testis |
title_fullStr |
Laparoscopic evaluation and treatment of the impalpable testis |
title_full_unstemmed |
Laparoscopic evaluation and treatment of the impalpable testis |
title_sort |
Laparoscopic evaluation and treatment of the impalpable testis |
author |
Dénes, F. T. |
author_facet |
Dénes, F. T. Silva, F. A Q Girón, A. M. Arap, S. |
author_role |
author |
author2 |
Silva, F. A Q Girón, A. M. Arap, S. |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
Dénes, F. T. Silva, F. A Q Girón, A. M. Arap, S. |
dc.subject.por.fl_str_mv |
Cryptorchidism Diagnosis Laparoscopy Testis Treatment anorchia child controlled study cryptorchism diagnostic accuracy diagnostic procedure ectopic testis follow up human ligation major clinical study male minimally invasive surgery morbidity orchidopexy orchiectomy patient coding peroperative complication postoperative complication scrotum testis atrophy testis disease |
topic |
Cryptorchidism Diagnosis Laparoscopy Testis Treatment anorchia child controlled study cryptorchism diagnostic accuracy diagnostic procedure ectopic testis follow up human ligation major clinical study male minimally invasive surgery morbidity orchidopexy orchiectomy patient coding peroperative complication postoperative complication scrotum testis atrophy testis disease |
description |
Objectives: To evaluate the laparoscopic technique as a diagnostic and therapeutic tool in the management of patients with impalpable testis. Material and Methods: Fifty-nine patients with mean age of 6.3 years underwent laparoscopy to evaluate 85 impalpable testes that were classified as absent, canalicular and intra-abdominal. In the case of testicular absence, the procedure was terminated. In the case of canalicular testis, open inguinal exploration was performed. In intra-abdominal testis, either laparoscopic orchiopexy or orchiectomy was performed. According to the length of the vascular pedicle, orchipexy was performed either with or without vascular ligature. Post-operatively, the treated testes were evaluated according to size and location in the scrotum. Results: Seventeen (20%) of the 85 impalpable testes were diagnosed as absent, 21 (24.7%) as canalicular and 47 (55.3%) as intra-abdominal. Of the canalicular testes, 20 were explored by inguinotomy and one by laparoscopy. All the intra-abdominal testes were treated initially by laparoscopy, four being removed due to atrophy, 31 submitted to vascular ligature and 12 to primary orchipexy. Of those submitted to vascular ligature, 22 underwent a second stage orchipexy, of which 18 laparoscopically and 4 by inguinotomy. Of the 18 testes brought to the scrotum by staged laparoscopic orchipexy, 15 (83.3%) presented normal characteristics in the late follow-up, while of the 12 submitted to primary laparoscopic orchipexy, 8 (66.6%) were normal. There were no perioperative or late complications. Conclusions: Laparoscopy is a minimally invasive procedure with low morbidity that enables precise diagnosis of the impalpable testes. When intra-abdominal testes are found, either immediate laparoscopic orchiectomy, or primary and staged orchipexy are possible, with results equivalent to open procedures, with the advantage of smaller surgical incisions and shorter postoperative recovery. |
publishDate |
2001 |
dc.date.none.fl_str_mv |
2001-01-01 2014-05-27T11:20:14Z 2014-05-27T11:20:14Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://www.brazjurol.com.br/julho_2001/Denes_380_385.pdf Brazilian Journal of Urology, v. 27, n. 4, p. 380-385, 2001. 1517-6878 http://hdl.handle.net/11449/66442 2-s2.0-0034841905 2-s2.0-0034841905.pdf |
url |
http://www.brazjurol.com.br/julho_2001/Denes_380_385.pdf http://hdl.handle.net/11449/66442 |
identifier_str_mv |
Brazilian Journal of Urology, v. 27, n. 4, p. 380-385, 2001. 1517-6878 2-s2.0-0034841905 2-s2.0-0034841905.pdf |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Brazilian Journal of Urology |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
380-385 application/pdf |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1808128360414445568 |