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Laparoscopic and Robotic Orchiopexy for the Impalpable Undescended Testicle

  • Ahmad Z. MohamedEmail author
  • Regina Norris
  • Francis X. Schneck
Chapter
Part of the Current Clinical Urology book series (CCU)

Abstract

Approximately 1% of males are diagnosed with cryptorchidism [1]. In the majority of cases the undescended testicle is palpable. However, as many as 20% of cryptorchid patients will have a non-palpable testis [2]. In these cases, the testis might be absent, intra-abdominal, or within the inguinal canal (canalicular). Prior to the advent of laparoscopic exploration for the non-palpable testicle in 1976, management of the undescended testicle consisted of an inguinal exploration with extension into the peritoneum [3]. The testicle was either absent (vanishing), removed, positioned scrotally, or in the worst case scenario, not located by the surgeon.

Keywords

Undescended testis Intra-abdominal testicle Orchiopexy Orchiectomy Stephen–Fowler Non-palpable testicle Diagnostic laparoscopy Inguinal canal 

Supplementary material

Laparoscopic Orchiopexy for Impalpable Testis (34 MB)

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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Ahmad Z. Mohamed
    • 1
    Email author
  • Regina Norris
    • 2
  • Francis X. Schneck
    • 2
  1. 1.Department of UrologyChildren’s Hospital of Pittsburgh of UPMCPittsburghUSA
  2. 2.Division of Pediatric UrologyChildren’s Hospital of Pittsburgh of UPMCPittsburghUSA

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