Year : 2000 | Volume
: 17 | Issue : 1 | Page : 13--15
Role of laparoscopy in the management of impalpable testis
SK Chowdhary, RK Chaudhury, PP Singh, Y Paljor, SC Joseph
Department of Paediatric Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh and St. Stephens Hospital, Delhi, India
Aim: A study to evaluate the safety and efficacy of laparoscopy using conventional laparoscopy equipment in children presenting with impalpable testis.
Patients and Methods: Prospective study to include all boys referred with impalpable testis between 2 yrs-12 yrs. Examination under sedation (Chloral hydrate 50-75 mg/ kg oral) by a consultant pediatric surgeon. Period of study included all consecutive boys referred between October 97-October 98. A database was created to enter clinical details, imaging studies, laparoscopic findings, surgery and outcome.
Results: 13 consecutive boys included in the study with 15 impalpable testes. 2 testes could not be located on laparoscopy. 6 testes were located on laparoscopy, 4 near the internal ring and 1 each at the bifurcation of iliac vessels and paravesical region. All 6 underwentfirst-stage Fowler Stephens orchidopexy followed by second-stage in 5 of them. The other 7 underwent conventional orchidopexy for canalicular testes.
Conclusions: Laparoscopy is a safe and effective method of evaluating and treating a child with impalpable testis. Conventional adult equipment used in trained hands is safe for use in normal children older than 2 years.
S K Chowdhary
Assistant Professor in Pediatric Surgery, Advanced Pediatric Centre, PGIMER, Chandigarh - 160 012
|How to cite this article:|
Chowdhary S K, Chaudhury R K, Singh P P, Paljor Y, Joseph S C. Role of laparoscopy in the management of impalpable testis.Indian J Urol 2000;17:13-15
|How to cite this URL:|
Chowdhary S K, Chaudhury R K, Singh P P, Paljor Y, Joseph S C. Role of laparoscopy in the management of impalpable testis. Indian J Urol [serial online] 2000 [cited 2021 Jan 23 ];17:13-15
Available from: https://www.indianjurol.com/article.asp?issn=0970-1591;year=2000;volume=17;issue=1;spage=13;epage=15;aulast=Chowdhary;type=0