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Laparoscopic Two Stage Fowler–Stephens Orchiopexy For High Intraabdominal Undescended Testis
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| Author:
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DR.MARYAM JABBAR GHAZI , DR.WASEEM AHMAD ELKATIB , JASSIM ABDUL HASSAN AL MAYALI , ALAA JUMAAH MANJI NASRAWI
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| Abstract:
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Background: Undescended testis is a common urological problem affecting children, age of 1 year, it affect about 1% of boys. Of them, about 20% are a non-palpable testis. This might had a major impact on the fertility, in addition to increase possibility of malignancy in these testes. Laparoscopy-assisted orchiopexy is a promising procedure for management of cases with non-palpable testes in terms of efficacy, feasibility and safety. Laparoscopy provides an accurate and safe modality in diagnosis and management of cases with non-palpable undescended testes. Laparoscopic orchiopexy appears to be an effective and feasible in managing patient with high intraabdominal undescended testes.
Materials and Methods: In this, study 40 patients with 52 non-palpable teste were referred to Al-Ghadeer Private Hospital and Al-Sadar Teaching Hospital for surgery from March 1, 2016 to March 1, 2019 were enrolled in our study. Patients had been evaluated postoperatively in order to check the size and location of the testes and to exclude any possible complications.
Results: Forty patients with 52 non-palpable teste, there age was ranging from 3-25 years (mean 7 years). Median follow up from three months to 36 months (average 14 months). Overall success rates were 80.76%. Overall rates of testicular atrophy in our study were 19.233%. Orchiectomy was done for four atrophic testes.
Conclusions: Laproscopical ligation of gonadal vessels in cases of high intraabdominal testis with staged approach to preserve collateral testicular blood supply can provide adequate viability with a high success rate. A further well-conducted studies are desired to confirm findings in our study for management of cases with high intraabdominal undescended testis.
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| Keyword:
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Cryptorchidism, non-palpable testis, laparoscopy, orchiopexy
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| EOI:
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| DOI:
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https://doi.org/10.31838/ijpr/2021.13.01.338
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| Download:
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