Role of laparoscopy in the management of impalpable testis
| Autor: | S K Chowdhary, R K Chaudhury, P P Singh, Y Paljor, S C Joseph |
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| Jazyk: | angličtina |
| Rok vydání: | 2000 |
| Předmět: | |
| Zdroj: | Indian Journal of Urology, Vol 17, Iss 1, Pp 13-15 (2000) |
| Druh dokumentu: | article |
| ISSN: | 0970-1591 1998-3824 |
| Popis: | Aim: A study to evaluate the safety and efficacy of laparoscopy using conventional laparoscopy equipment in children presenting with impalpable testis. Patients and Methods: Prospective study to include all boys referred with impalpable testis between 2 yrs-12 yrs. Examination under sedation (Chloral hydrate 50-75 mg/ kg oral) by a consultant pediatric surgeon. Period of study included all consecutive boys referred between October 97-October 98. A database was created to enter clinical details, imaging studies, laparoscopic findings, surgery and outcome. Results: 13 consecutive boys included in the study with 15 impalpable testes. 2 testes could not be located on laparoscopy. 6 testes were located on laparoscopy, 4 near the internal ring and 1 each at the bifurcation of iliac vessels and paravesical region. All 6 underwentfirst-stage Fowler Stephens orchidopexy followed by second-stage in 5 of them. The other 7 underwent conventional or-chidopexy for canalicular testes. Conclusions: Laparoscopy is a safe and effective method of evaluating and treating a child with impalpa-ble testis. Conventional adult equipment used in trained hands is safe for use in normal children older than 2 years. |
| Databáze: | Directory of Open Access Journals |
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