Initial scrotal incision for unilateral nonpalpable testis

The Journal of Urology
Warren SnodgrassClanton Harrison

Abstract

We investigated use of initial scrotal incision for the management of unilateral nonpalpable testis. Scrotal incision followed by laparoscopy was performed in a consecutive series of 40 boys with unilateral impalpable testis. Initial scrotal incision revealed 22 scrotal nubbins and 4 extra-abdominal testes among the 40 patients. Of 13 patients with intra-abdominal testis 6 had a looping vas that was dissected to the internal ring via the scrotal incision, and the incision was used for orchiopexy in 12. Laparoscopy detected 1 case of intra-abdominal vanished testis but falsely diagnosed 6 additional cases based upon blind-ending vas and vessels despite a known scrotal nubbin. It also detected 13 intra-abdominal testes but was inconclusive in 14 cases in which vas and vessels exited the internal ring, not including the 4 patients with extra abdominal testes who did not undergo laparoscopy. Scrotal incision may be sufficient to diagnose testicular loss when a nubbin is encountered, and can detect an extra abdominal testis not palpated with the patient under anesthesia. The incision is used for orchiopexy in those patients with a testis that can be brought to the scrotum in a single stage. Laparoscopy potentially can be reserved fo...Continue Reading

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Citations

Jan 3, 2006·Indian Journal of Pediatrics·V V S S Chandrasekharam
Sep 3, 2013·Pediatric Surgery International·Sameh M ShehataMohamed A Baky Fahmy
Mar 9, 2011·Journal of Endourology·Yoshiyuki KojimaYutaro Hayashi
May 13, 2011·The Journal of Urology·Mahmoud M ShalabyMagdy A El-Akkad
Aug 21, 2007·The Journal of Urology·Warren T SnodgrassAli Ziada
Oct 30, 2009·International Journal of Urology : Official Journal of the Japanese Urological Association·Yuichiro YamazakiYukichi Tanaka
Jan 15, 2015·International Journal of Urology : Official Journal of the Japanese Urological Association·Young Jae ImSang Won Han
Apr 29, 2015·Journal of Pediatric Urology·R M NatarajaF L Murphy
Mar 14, 2013·Journal of Pediatric Surgery·Nobufumi UedaYukichi Tanaka
Nov 14, 2015·World Journal of Clinical Pediatrics·Kin Wai Edwin ChanYuk Him Tam
Jun 21, 2011·Korean journal of urology·Ji Hyun ParkHwang Choi
Apr 25, 2017·The Journal of Urology·Courtney L Shepard, Kate H Kraft
Oct 13, 2018·International Urology and Nephrology·Ahmed Zaki Mohamed AnwarEhab Rifat Tawfiek

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