Single setting bilateral laparoscopic orchiopexy for bilateral intra-abdominal testicles

The Journal of Urology
Jonathan D Kaye, Lane Palmer

Abstract

The laparoscopic surgical approach to unilateral intra-abdominal testis has replaced the open approach at several large centers. There is considerable literature on experience with unilateral intra-abdominal testes but little on the management of bilateral intra-abdominal testes. We assessed the feasibility and safety of performing single setting bilateral laparoscopic orchiopexy in boys with bilateral intra-abdominal testes. A single surgeon experience was reviewed. The surgical technique was similar in all cases and on each side, including infra-umbilical access, diagnostic evaluation, peritoneal mobilization lateral to the spermatic vessels and inferior to the vas deferens, gubernacular transection, and a decision for or against a Fowler-Stephens procedure and testis relocation into the scrotum with fixation. Followup consisted of physical examination 14 days, 6 months and 1 year postoperatively, when testicular position and size were assessed. Intraoperative and postoperative complications were noted. Single setting bilateral laparoscopic orchiopexy was attempted in a total of 42 testes in 21 boys with a median age of 9 months (range 7 to 52). It was completed in a total of 36 testes in 18 boys. All procedures were performe...Continue Reading

References

Feb 1, 1976·Endoscopy·N CortesiF P Morano
Mar 1, 1995·Epidemiology·G S BerkowitzI R Holzman
Oct 1, 1994·The Journal of Urology·G H Jordan, B H Winslow
Oct 1, 1993·British Journal of Obstetrics and Gynaecology·J M WelchC Bradbeer
May 23, 1998·The Journal of Urology·B W LindgrenI Franco
Apr 12, 2001·BJU International·B ChangI Franco
Mar 22, 2002·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·M S AnsariA K Hemal
May 6, 2006·World Journal of Urology·Irina Taran, Jack S Elder

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Citations

Dec 28, 2012·Journal of Pediatric Urology·Deepak BaggaSamir K Acharya
Feb 11, 2015·Pediatric Surgery International·Carolyn WayneUNKNOWN Canadian Association of Paediatric Surgeons Evidence-Based Resource
Apr 25, 2017·The Journal of Urology·Courtney L Shepard, Kate H Kraft

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