Laparoscopy in the Management of Impalpable Testis: Series of 64 Cases
Background The undescended testis represents one of the most common disorders of childhood. Laparoscopy has been widely used for the diagnosis and treatment of non-palpable testis. In this study, we investigated and evaluated the usefulness of laparoscopy in the diagnosis and treatment of the non-pa...
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| Autor*in: |
Ismail, Khalid [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2009 |
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| Schlagwörter: |
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| Anmerkung: |
© Société Internationale de Chirurgie 2009 |
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| Übergeordnetes Werk: |
Enthalten in: World Journal of Surgery - Springer-Verlag, 1996, 33(2009), 7 vom: 12. Apr., Seite 1514-1519 |
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| Übergeordnetes Werk: |
volume:33 ; year:2009 ; number:7 ; day:12 ; month:04 ; pages:1514-1519 |
| Links: |
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| DOI / URN: |
10.1007/s00268-009-0004-8 |
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| Katalog-ID: |
SPR003423476 |
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| 520 | |a Background The undescended testis represents one of the most common disorders of childhood. Laparoscopy has been widely used for the diagnosis and treatment of non-palpable testis. In this study, we investigated and evaluated the usefulness of laparoscopy in the diagnosis and treatment of the non-palpable testis. Methods From January 2003 to January 2008, we used laparoscopy in the management of 64 patients with 75 impalpable testes. The patients’ ages varied from 1 to 15 years (median 4.6 years). The sites and sizes of the testes were localized by abdominopelvic ultrasonography (US) in all 64 children. One-stage laparoscopic orchiopexy was performed for 26 testes, staged Fowler Stephens orchiopexy for 17 testes, and laparoscopic orchidectomy for five testes. Follow-up by clinical examination and color Doppler US was performed in every patient who underwent orchiopexy. Results There were 11 patients with bilateral non-palpable testes. The overall diagnostic agreement of US with laparoscopy was seen for only 16 of 75 testes (21.3%). The results of diagnostic laparoscopy were varied and showed various pathologic conditions and positions of the testes, such as 20 low intraabdominal testes (26.6%), 17 high intraabdominal testes (22.7%), and 18 testes (24%) that had entered the inguinal canal. Associated inguinal hernia was present in four patients. After a mean follow-up period of 26 months (6 months–5 years) all testes were seen to be located in the bottom of the scrotum, with the exception of three testes that had retracted to the neck of the scrotum and two testes that had atrophied (2.7%). Conclusions Laparoscopy has proven to be the only diagnostic modality where the findings provide a clear, dependable direction for definitive management of impalpable testes. It allows an accurate diagnosis and simultaneous definitive treatment. | ||
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10.1007/s00268-009-0004-8 doi (DE-627)SPR003423476 (SPR)s00268-009-0004-8-e DE-627 ger DE-627 rakwb eng Ismail, Khalid verfasserin aut Laparoscopy in the Management of Impalpable Testis: Series of 64 Cases 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2009 Background The undescended testis represents one of the most common disorders of childhood. Laparoscopy has been widely used for the diagnosis and treatment of non-palpable testis. In this study, we investigated and evaluated the usefulness of laparoscopy in the diagnosis and treatment of the non-palpable testis. Methods From January 2003 to January 2008, we used laparoscopy in the management of 64 patients with 75 impalpable testes. The patients’ ages varied from 1 to 15 years (median 4.6 years). The sites and sizes of the testes were localized by abdominopelvic ultrasonography (US) in all 64 children. One-stage laparoscopic orchiopexy was performed for 26 testes, staged Fowler Stephens orchiopexy for 17 testes, and laparoscopic orchidectomy for five testes. Follow-up by clinical examination and color Doppler US was performed in every patient who underwent orchiopexy. Results There were 11 patients with bilateral non-palpable testes. The overall diagnostic agreement of US with laparoscopy was seen for only 16 of 75 testes (21.3%). The results of diagnostic laparoscopy were varied and showed various pathologic conditions and positions of the testes, such as 20 low intraabdominal testes (26.6%), 17 high intraabdominal testes (22.7%), and 18 testes (24%) that had entered the inguinal canal. Associated inguinal hernia was present in four patients. After a mean follow-up period of 26 months (6 months–5 years) all testes were seen to be located in the bottom of the scrotum, with the exception of three testes that had retracted to the neck of the scrotum and two testes that had atrophied (2.7%). Conclusions Laparoscopy has proven to be the only diagnostic modality where the findings provide a clear, dependable direction for definitive management of impalpable testes. It allows an accurate diagnosis and simultaneous definitive treatment. Diagnostic Laparoscopy (dpeaa)DE-He213 Inguinal Canal (dpeaa)DE-He213 Undescended Testis (dpeaa)DE-He213 Diagnostic Agreement (dpeaa)DE-He213 Deep Inguinal Ring (dpeaa)DE-He213 Ashour, Mohamed aut El-Afifi, Mahmoud aut Hashish, Amel aut El-Dosouky, Nagi aut Nagm, Mohamed aut Hashish, Mohamed aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 33(2009), 7 vom: 12. Apr., Seite 1514-1519 (DE-627)SPR003391159 nnns volume:33 year:2009 number:7 day:12 month:04 pages:1514-1519 https://dx.doi.org/10.1007/s00268-009-0004-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 33 2009 7 12 04 1514-1519 |
| spelling |
10.1007/s00268-009-0004-8 doi (DE-627)SPR003423476 (SPR)s00268-009-0004-8-e DE-627 ger DE-627 rakwb eng Ismail, Khalid verfasserin aut Laparoscopy in the Management of Impalpable Testis: Series of 64 Cases 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2009 Background The undescended testis represents one of the most common disorders of childhood. Laparoscopy has been widely used for the diagnosis and treatment of non-palpable testis. In this study, we investigated and evaluated the usefulness of laparoscopy in the diagnosis and treatment of the non-palpable testis. Methods From January 2003 to January 2008, we used laparoscopy in the management of 64 patients with 75 impalpable testes. The patients’ ages varied from 1 to 15 years (median 4.6 years). The sites and sizes of the testes were localized by abdominopelvic ultrasonography (US) in all 64 children. One-stage laparoscopic orchiopexy was performed for 26 testes, staged Fowler Stephens orchiopexy for 17 testes, and laparoscopic orchidectomy for five testes. Follow-up by clinical examination and color Doppler US was performed in every patient who underwent orchiopexy. Results There were 11 patients with bilateral non-palpable testes. The overall diagnostic agreement of US with laparoscopy was seen for only 16 of 75 testes (21.3%). The results of diagnostic laparoscopy were varied and showed various pathologic conditions and positions of the testes, such as 20 low intraabdominal testes (26.6%), 17 high intraabdominal testes (22.7%), and 18 testes (24%) that had entered the inguinal canal. Associated inguinal hernia was present in four patients. After a mean follow-up period of 26 months (6 months–5 years) all testes were seen to be located in the bottom of the scrotum, with the exception of three testes that had retracted to the neck of the scrotum and two testes that had atrophied (2.7%). Conclusions Laparoscopy has proven to be the only diagnostic modality where the findings provide a clear, dependable direction for definitive management of impalpable testes. It allows an accurate diagnosis and simultaneous definitive treatment. Diagnostic Laparoscopy (dpeaa)DE-He213 Inguinal Canal (dpeaa)DE-He213 Undescended Testis (dpeaa)DE-He213 Diagnostic Agreement (dpeaa)DE-He213 Deep Inguinal Ring (dpeaa)DE-He213 Ashour, Mohamed aut El-Afifi, Mahmoud aut Hashish, Amel aut El-Dosouky, Nagi aut Nagm, Mohamed aut Hashish, Mohamed aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 33(2009), 7 vom: 12. Apr., Seite 1514-1519 (DE-627)SPR003391159 nnns volume:33 year:2009 number:7 day:12 month:04 pages:1514-1519 https://dx.doi.org/10.1007/s00268-009-0004-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 33 2009 7 12 04 1514-1519 |
| allfields_unstemmed |
10.1007/s00268-009-0004-8 doi (DE-627)SPR003423476 (SPR)s00268-009-0004-8-e DE-627 ger DE-627 rakwb eng Ismail, Khalid verfasserin aut Laparoscopy in the Management of Impalpable Testis: Series of 64 Cases 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2009 Background The undescended testis represents one of the most common disorders of childhood. Laparoscopy has been widely used for the diagnosis and treatment of non-palpable testis. In this study, we investigated and evaluated the usefulness of laparoscopy in the diagnosis and treatment of the non-palpable testis. Methods From January 2003 to January 2008, we used laparoscopy in the management of 64 patients with 75 impalpable testes. The patients’ ages varied from 1 to 15 years (median 4.6 years). The sites and sizes of the testes were localized by abdominopelvic ultrasonography (US) in all 64 children. One-stage laparoscopic orchiopexy was performed for 26 testes, staged Fowler Stephens orchiopexy for 17 testes, and laparoscopic orchidectomy for five testes. Follow-up by clinical examination and color Doppler US was performed in every patient who underwent orchiopexy. Results There were 11 patients with bilateral non-palpable testes. The overall diagnostic agreement of US with laparoscopy was seen for only 16 of 75 testes (21.3%). The results of diagnostic laparoscopy were varied and showed various pathologic conditions and positions of the testes, such as 20 low intraabdominal testes (26.6%), 17 high intraabdominal testes (22.7%), and 18 testes (24%) that had entered the inguinal canal. Associated inguinal hernia was present in four patients. After a mean follow-up period of 26 months (6 months–5 years) all testes were seen to be located in the bottom of the scrotum, with the exception of three testes that had retracted to the neck of the scrotum and two testes that had atrophied (2.7%). Conclusions Laparoscopy has proven to be the only diagnostic modality where the findings provide a clear, dependable direction for definitive management of impalpable testes. It allows an accurate diagnosis and simultaneous definitive treatment. Diagnostic Laparoscopy (dpeaa)DE-He213 Inguinal Canal (dpeaa)DE-He213 Undescended Testis (dpeaa)DE-He213 Diagnostic Agreement (dpeaa)DE-He213 Deep Inguinal Ring (dpeaa)DE-He213 Ashour, Mohamed aut El-Afifi, Mahmoud aut Hashish, Amel aut El-Dosouky, Nagi aut Nagm, Mohamed aut Hashish, Mohamed aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 33(2009), 7 vom: 12. Apr., Seite 1514-1519 (DE-627)SPR003391159 nnns volume:33 year:2009 number:7 day:12 month:04 pages:1514-1519 https://dx.doi.org/10.1007/s00268-009-0004-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 33 2009 7 12 04 1514-1519 |
| allfieldsGer |
10.1007/s00268-009-0004-8 doi (DE-627)SPR003423476 (SPR)s00268-009-0004-8-e DE-627 ger DE-627 rakwb eng Ismail, Khalid verfasserin aut Laparoscopy in the Management of Impalpable Testis: Series of 64 Cases 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2009 Background The undescended testis represents one of the most common disorders of childhood. Laparoscopy has been widely used for the diagnosis and treatment of non-palpable testis. In this study, we investigated and evaluated the usefulness of laparoscopy in the diagnosis and treatment of the non-palpable testis. Methods From January 2003 to January 2008, we used laparoscopy in the management of 64 patients with 75 impalpable testes. The patients’ ages varied from 1 to 15 years (median 4.6 years). The sites and sizes of the testes were localized by abdominopelvic ultrasonography (US) in all 64 children. One-stage laparoscopic orchiopexy was performed for 26 testes, staged Fowler Stephens orchiopexy for 17 testes, and laparoscopic orchidectomy for five testes. Follow-up by clinical examination and color Doppler US was performed in every patient who underwent orchiopexy. Results There were 11 patients with bilateral non-palpable testes. The overall diagnostic agreement of US with laparoscopy was seen for only 16 of 75 testes (21.3%). The results of diagnostic laparoscopy were varied and showed various pathologic conditions and positions of the testes, such as 20 low intraabdominal testes (26.6%), 17 high intraabdominal testes (22.7%), and 18 testes (24%) that had entered the inguinal canal. Associated inguinal hernia was present in four patients. After a mean follow-up period of 26 months (6 months–5 years) all testes were seen to be located in the bottom of the scrotum, with the exception of three testes that had retracted to the neck of the scrotum and two testes that had atrophied (2.7%). Conclusions Laparoscopy has proven to be the only diagnostic modality where the findings provide a clear, dependable direction for definitive management of impalpable testes. It allows an accurate diagnosis and simultaneous definitive treatment. Diagnostic Laparoscopy (dpeaa)DE-He213 Inguinal Canal (dpeaa)DE-He213 Undescended Testis (dpeaa)DE-He213 Diagnostic Agreement (dpeaa)DE-He213 Deep Inguinal Ring (dpeaa)DE-He213 Ashour, Mohamed aut El-Afifi, Mahmoud aut Hashish, Amel aut El-Dosouky, Nagi aut Nagm, Mohamed aut Hashish, Mohamed aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 33(2009), 7 vom: 12. Apr., Seite 1514-1519 (DE-627)SPR003391159 nnns volume:33 year:2009 number:7 day:12 month:04 pages:1514-1519 https://dx.doi.org/10.1007/s00268-009-0004-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 33 2009 7 12 04 1514-1519 |
| allfieldsSound |
10.1007/s00268-009-0004-8 doi (DE-627)SPR003423476 (SPR)s00268-009-0004-8-e DE-627 ger DE-627 rakwb eng Ismail, Khalid verfasserin aut Laparoscopy in the Management of Impalpable Testis: Series of 64 Cases 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2009 Background The undescended testis represents one of the most common disorders of childhood. Laparoscopy has been widely used for the diagnosis and treatment of non-palpable testis. In this study, we investigated and evaluated the usefulness of laparoscopy in the diagnosis and treatment of the non-palpable testis. Methods From January 2003 to January 2008, we used laparoscopy in the management of 64 patients with 75 impalpable testes. The patients’ ages varied from 1 to 15 years (median 4.6 years). The sites and sizes of the testes were localized by abdominopelvic ultrasonography (US) in all 64 children. One-stage laparoscopic orchiopexy was performed for 26 testes, staged Fowler Stephens orchiopexy for 17 testes, and laparoscopic orchidectomy for five testes. Follow-up by clinical examination and color Doppler US was performed in every patient who underwent orchiopexy. Results There were 11 patients with bilateral non-palpable testes. The overall diagnostic agreement of US with laparoscopy was seen for only 16 of 75 testes (21.3%). The results of diagnostic laparoscopy were varied and showed various pathologic conditions and positions of the testes, such as 20 low intraabdominal testes (26.6%), 17 high intraabdominal testes (22.7%), and 18 testes (24%) that had entered the inguinal canal. Associated inguinal hernia was present in four patients. After a mean follow-up period of 26 months (6 months–5 years) all testes were seen to be located in the bottom of the scrotum, with the exception of three testes that had retracted to the neck of the scrotum and two testes that had atrophied (2.7%). Conclusions Laparoscopy has proven to be the only diagnostic modality where the findings provide a clear, dependable direction for definitive management of impalpable testes. It allows an accurate diagnosis and simultaneous definitive treatment. Diagnostic Laparoscopy (dpeaa)DE-He213 Inguinal Canal (dpeaa)DE-He213 Undescended Testis (dpeaa)DE-He213 Diagnostic Agreement (dpeaa)DE-He213 Deep Inguinal Ring (dpeaa)DE-He213 Ashour, Mohamed aut El-Afifi, Mahmoud aut Hashish, Amel aut El-Dosouky, Nagi aut Nagm, Mohamed aut Hashish, Mohamed aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 33(2009), 7 vom: 12. Apr., Seite 1514-1519 (DE-627)SPR003391159 nnns volume:33 year:2009 number:7 day:12 month:04 pages:1514-1519 https://dx.doi.org/10.1007/s00268-009-0004-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 33 2009 7 12 04 1514-1519 |
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Laparoscopy has been widely used for the diagnosis and treatment of non-palpable testis. In this study, we investigated and evaluated the usefulness of laparoscopy in the diagnosis and treatment of the non-palpable testis. Methods From January 2003 to January 2008, we used laparoscopy in the management of 64 patients with 75 impalpable testes. The patients’ ages varied from 1 to 15 years (median 4.6 years). The sites and sizes of the testes were localized by abdominopelvic ultrasonography (US) in all 64 children. One-stage laparoscopic orchiopexy was performed for 26 testes, staged Fowler Stephens orchiopexy for 17 testes, and laparoscopic orchidectomy for five testes. Follow-up by clinical examination and color Doppler US was performed in every patient who underwent orchiopexy. Results There were 11 patients with bilateral non-palpable testes. The overall diagnostic agreement of US with laparoscopy was seen for only 16 of 75 testes (21.3%). The results of diagnostic laparoscopy were varied and showed various pathologic conditions and positions of the testes, such as 20 low intraabdominal testes (26.6%), 17 high intraabdominal testes (22.7%), and 18 testes (24%) that had entered the inguinal canal. Associated inguinal hernia was present in four patients. After a mean follow-up period of 26 months (6 months–5 years) all testes were seen to be located in the bottom of the scrotum, with the exception of three testes that had retracted to the neck of the scrotum and two testes that had atrophied (2.7%). Conclusions Laparoscopy has proven to be the only diagnostic modality where the findings provide a clear, dependable direction for definitive management of impalpable testes. 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laparoscopy in the management of impalpable testis: series of 64 cases |
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Laparoscopy in the Management of Impalpable Testis: Series of 64 Cases |
| abstract |
Background The undescended testis represents one of the most common disorders of childhood. Laparoscopy has been widely used for the diagnosis and treatment of non-palpable testis. In this study, we investigated and evaluated the usefulness of laparoscopy in the diagnosis and treatment of the non-palpable testis. Methods From January 2003 to January 2008, we used laparoscopy in the management of 64 patients with 75 impalpable testes. The patients’ ages varied from 1 to 15 years (median 4.6 years). The sites and sizes of the testes were localized by abdominopelvic ultrasonography (US) in all 64 children. One-stage laparoscopic orchiopexy was performed for 26 testes, staged Fowler Stephens orchiopexy for 17 testes, and laparoscopic orchidectomy for five testes. Follow-up by clinical examination and color Doppler US was performed in every patient who underwent orchiopexy. Results There were 11 patients with bilateral non-palpable testes. The overall diagnostic agreement of US with laparoscopy was seen for only 16 of 75 testes (21.3%). The results of diagnostic laparoscopy were varied and showed various pathologic conditions and positions of the testes, such as 20 low intraabdominal testes (26.6%), 17 high intraabdominal testes (22.7%), and 18 testes (24%) that had entered the inguinal canal. Associated inguinal hernia was present in four patients. After a mean follow-up period of 26 months (6 months–5 years) all testes were seen to be located in the bottom of the scrotum, with the exception of three testes that had retracted to the neck of the scrotum and two testes that had atrophied (2.7%). Conclusions Laparoscopy has proven to be the only diagnostic modality where the findings provide a clear, dependable direction for definitive management of impalpable testes. It allows an accurate diagnosis and simultaneous definitive treatment. © Société Internationale de Chirurgie 2009 |
| abstractGer |
Background The undescended testis represents one of the most common disorders of childhood. Laparoscopy has been widely used for the diagnosis and treatment of non-palpable testis. In this study, we investigated and evaluated the usefulness of laparoscopy in the diagnosis and treatment of the non-palpable testis. Methods From January 2003 to January 2008, we used laparoscopy in the management of 64 patients with 75 impalpable testes. The patients’ ages varied from 1 to 15 years (median 4.6 years). The sites and sizes of the testes were localized by abdominopelvic ultrasonography (US) in all 64 children. One-stage laparoscopic orchiopexy was performed for 26 testes, staged Fowler Stephens orchiopexy for 17 testes, and laparoscopic orchidectomy for five testes. Follow-up by clinical examination and color Doppler US was performed in every patient who underwent orchiopexy. Results There were 11 patients with bilateral non-palpable testes. The overall diagnostic agreement of US with laparoscopy was seen for only 16 of 75 testes (21.3%). The results of diagnostic laparoscopy were varied and showed various pathologic conditions and positions of the testes, such as 20 low intraabdominal testes (26.6%), 17 high intraabdominal testes (22.7%), and 18 testes (24%) that had entered the inguinal canal. Associated inguinal hernia was present in four patients. After a mean follow-up period of 26 months (6 months–5 years) all testes were seen to be located in the bottom of the scrotum, with the exception of three testes that had retracted to the neck of the scrotum and two testes that had atrophied (2.7%). Conclusions Laparoscopy has proven to be the only diagnostic modality where the findings provide a clear, dependable direction for definitive management of impalpable testes. It allows an accurate diagnosis and simultaneous definitive treatment. © Société Internationale de Chirurgie 2009 |
| abstract_unstemmed |
Background The undescended testis represents one of the most common disorders of childhood. Laparoscopy has been widely used for the diagnosis and treatment of non-palpable testis. In this study, we investigated and evaluated the usefulness of laparoscopy in the diagnosis and treatment of the non-palpable testis. Methods From January 2003 to January 2008, we used laparoscopy in the management of 64 patients with 75 impalpable testes. The patients’ ages varied from 1 to 15 years (median 4.6 years). The sites and sizes of the testes were localized by abdominopelvic ultrasonography (US) in all 64 children. One-stage laparoscopic orchiopexy was performed for 26 testes, staged Fowler Stephens orchiopexy for 17 testes, and laparoscopic orchidectomy for five testes. Follow-up by clinical examination and color Doppler US was performed in every patient who underwent orchiopexy. Results There were 11 patients with bilateral non-palpable testes. The overall diagnostic agreement of US with laparoscopy was seen for only 16 of 75 testes (21.3%). The results of diagnostic laparoscopy were varied and showed various pathologic conditions and positions of the testes, such as 20 low intraabdominal testes (26.6%), 17 high intraabdominal testes (22.7%), and 18 testes (24%) that had entered the inguinal canal. Associated inguinal hernia was present in four patients. After a mean follow-up period of 26 months (6 months–5 years) all testes were seen to be located in the bottom of the scrotum, with the exception of three testes that had retracted to the neck of the scrotum and two testes that had atrophied (2.7%). Conclusions Laparoscopy has proven to be the only diagnostic modality where the findings provide a clear, dependable direction for definitive management of impalpable testes. It allows an accurate diagnosis and simultaneous definitive treatment. © Société Internationale de Chirurgie 2009 |
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