Abstract
The mainstay of therapy for undescended testes is surgical treatment within the first years of life in order to avoid ongoing testicular degenerative changes. The surgical therapy for the palpable undescended testis is orchidopexy and when the testis is non-palpable the laparoscopic approach is considered both as a diagnostic tool as well as an important therapeutic solution. In this article the different aspects of the laparoscopic approach to undescended testis will be described and discussed.
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References
Baker LA, Docimo SG, Surer I et al (2001) A multi-institutional analysis of laparoscopic orchidopexy. BJU Int 87:484–489
Caldamone AA, Amaral JF (1994) Laparoscopic stage two Fowler–Stephens orchidopexy. J Urol 152:1253–1256
Chang B, Palmer LS, Franco I (2001) Laparoscopic orchidopexy: a review of a large clinical series. BJU Int 87:490–493
Cisek LJ, Peters CA, Atala A et al (1998) Current findings in diagnostic laparoscopic evaluation of the non-palpable testis. J Urol 160:1145–1149 (discussion 1150)
Cortesi N, Ferrari P, Zambarda E et al (1976) Diagnosis of bilateral abdominal cryptorchidism by laparoscopy. Endoscopy 8:33–34
Docimo SG (1995) The results of surgical therapy for cryptorchidism: a literature review and analysis. J Urol 154:1148–1152
Elder JS (2004) Management of the abdominal undescended testicle. Presented at the American Association of Genitourinary Surgeons. Amelia Island FL, April 2004
Esposito C, Lima M, Mattioli G et al (2003) Complications of pediatric urological laparoscopy: mistakes and risks. J Urol 169:1490–1492 (discussion 1492)
Fowler R, Stephens FD (1959) The role of testicular vascular anatomy in the salvage of high undescended testes. Aust N Z J Surg 29:92–106
Giuliani L, Carmignani G, Belgrano E et al (1984) Testis autotransplantation. Prog Reprod Biol Med 10:153–158
Huff DS, Hadziselimovic F, Duckett JW et al (1987) Germ cell counts in semithin sections of biopsies of 115 unilaterally cryptorchid testes. The experience from the Children’s Hospital of Philadelphia. Eur J Pediatr 146(Suppl 2):S25–S27
Jordan GH, Winslow BH (1994) Laparoscopic single stage and staged orchiopexy. J Urol 152:1249–1252
Levitt SB, Kogan SJ, Engel RM et al (1978) The impalpable testis: a rational approach to management. J Urol 120:515–520
Lindgren BW, Franco I, Blick S et al (1999) Laparoscopic Fowler–Stephens orchiopexy for the high abdominal testis. J Urol 162:990–993 (discussion 994)
Oh J, Landman J, Evers A, Yan Y, Kibel AS (2002) Management of the postpuberal patient with cryptorchidism: an updated analysis. J Urol 167:1329–1333
Metwalli AR, Cheng EY (2002) Inguinal hernia after laparoscopic orchiopexy. J Urol 168:2163
Silber SJ, Kelly J (1976) Successful autotransplantation of an intra-abdominal testis to the scrotum by microvascular technique. J Urol 115:452–454
Wacksman J, Billmire DA, Lewis AG et al (1996) Laparoscopically assisted testicular autotransplantation for management of the intraabdominal undescended testis. J Urol 156:772–774
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© 2011 Springer-Verlag Berlin Heidelberg
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Lissiani, A., Ocello, G., Trombetta, C. (2011). The Undescended Testis Management: Microsurgery and Laparoscopy. In: Bertolotto, M., Trombetta, C. (eds) Scrotal Pathology. Medical Radiology(). Springer, Berlin, Heidelberg. https://doi.org/10.1007/174_2011_194
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DOI: https://doi.org/10.1007/174_2011_194
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-12455-6
Online ISBN: 978-3-642-12456-3
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