Laparoscopic management of nonpalpable testes: A multicenter study of the Italian Society of Video Surgery in Infancy

Alfonso Papparella, Pio Parmeggiani, Giovanni Cobellis, Luciano Mastroianni, Giuseppe Stranieri, Nicola Pappalepore, Girolamo Mattioli, Ciro Esposito, Mario Lima

Research output: Contribution to journalArticle

Abstract

Purpose: Diagnostic laparoscopy has changed the surgical approach to nonpalpable testes (NPT). The aim of this study was to determine the value of laparoscopy in managing patients with NPT and to suggest guidelines for the interpretation of laparoscopic findings. The authors report the results of a multicenter study of the Italian Society of Video Surgery in Infancy on laparoscopic management of NPT. Methods: Between 1993 and 2001, the authors collected records of 364 patients with NPT who underwent laparoscopy, for a total of 388 testicular units. Results: Intraabdominal testes were found in 124 (34%) cases, for a total of 137 testes; 83 testicular units were classified as low and 54 as high. A total of 155 (43%) patients had cord structures entering the internal inguinal ring, 79 (22%) had intraabdominal blind-ending cord structures, and 6 (1%) had testicular agenesia. Conclusions: Laparoscopy is a valuable tool in diagnosing and treating more than 50% of cases of NPT. The laparoscopic evaluation of abdominal testes can provide indications for the most suitable surgical technique; moreover, in 23% of patients, it makes abdominal exploration unnecessary. The value of laparoscopy is even greater if the anatomical aspect of the internal ring and spermatic cord structures is carefully evaluated.

Original languageEnglish
Pages (from-to)696-700
Number of pages5
JournalJournal of Pediatric Surgery
Volume40
Issue number4
DOIs
Publication statusPublished - Apr 2005

Keywords

  • Cryptorchidism
  • Laparoscopy
  • Nonpalpable testis

ASJC Scopus subject areas

  • Surgery

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    Papparella, A., Parmeggiani, P., Cobellis, G., Mastroianni, L., Stranieri, G., Pappalepore, N., Mattioli, G., Esposito, C., & Lima, M. (2005). Laparoscopic management of nonpalpable testes: A multicenter study of the Italian Society of Video Surgery in Infancy. Journal of Pediatric Surgery, 40(4), 696-700. https://doi.org/10.1016/j.jpedsurg.2005.01.010