Bilateral cryptorchidism with bilateral inguinal hernia and retrovesical mass in an infertile man: single-stage laparoscopic management

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
M S AnsariA K Hemal

Abstract

A 30-year-old married man presented with the complaint of inability to procreate. Examination revealed bilateral nonpalpable testes and bilateral inguinal hernia. Ultrasonography of the abdomen could not locate the testis; instead, a hypoechoic 5 x 5-cm mass was found behind the bladder. A CT scan of the abdomen revealed the right testis near the right inguinal canal. The left testis could not be identified beside the soft tissue mass. The patient was taken for diagnostic as well as therapeutic laparoscopy. The testis on the right was found just proximal to the internal inguinal ring, and right orchidopexy was done. The left testis was small and rudimentary; hence, orchidectomy was done. Bilateral laparoscopic herniorrhaphy was carried out with polypropylene mesh by fixing it intracorporeally to the pubic bone, Cooper's ligament, inguinal ligament, and conjoint tendon. Subsequently, the retrovesical mass was excised and retrieved by dilating the umbilical port site. The operative time was 3.5 hours with minimal blood loss. The postoperative period was uneventful, and the patient was discharged after 24 hours. The histopathology examination of the retrovesical mass showed an extragonadal germ cell tumor compatible with seminoma.

References

Sep 1, 1995·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·P WardeM A Jewett
Nov 1, 1996·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·N N ShardaM A Ritter

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Citations

Aug 30, 2008·The Journal of Urology·Jonathan D Kaye, Lane S Palmer
Sep 13, 2020·International Journal of Surgery Case Reports·Masakazu WakabayashiTakeo Hokari

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