Preoperative Laparoscopic Localization and Assessment of the nonpalpable Testis

Kim, Sun Jin; Lee, Hyun Moo; Kim, Kwang Myung; Choi, Hwang; Kim, Young Kyoon

Abstract

Laparoscopic examination was performed successfully on 28 patients with 30 nonpalpable testes, ranging from 20 to 173 months of age. The procedure was done immediately before exploration under same general anesthesia and successful in determining the location of testes in all cases. These informations were clinically beneficial for selective the subsequent operative approach. Attempt of orchiopexy in 9 testes, orchiectomy in 4 cases due to too short spermatic cord and removal or atrophic testis-like tissue with cord structure in 17 cases were undergone and resected tissues were confirmed by histopathological examination. The results revealed 13 anorchia, 2 rate testis and 2 smell remnant of testicular tissue, which were not far from each laparoscopic findings. we could have avoided surgical procedure in 13 cases which had closed internal inguinal ring and no visible testicular tissue and application of some endourologic procedure such as coagulation or resection could be carefully considered in those cases. There was no complication from the procedure and it added insignificant increase in operative time.