2009, Number 5
Rev Mex Urol 2009; 69 (5)
Riquelme-Heras MA, Landa-Juárez S, Miguel-Gómez D, Meneses-Juárez H, Andraca-Dumit R
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ABSTRACTBackground: Undescended testis should be identified at birth. Inappropriate treatment of complications can be serious, so its evaluation and specialized approach are a priority. Classification in relation to gonadal height provides a general idea of prognosis. Best age for management is still controversial. The conventional approach continues to be open orchidopexy. However, laparoscopy has been gaining ground.
Objective: To evaluate a group of patients presenting with this anomaly who were treated laparoscopically.
Materials and methods: A total of 27 patients with palpable or nonpalpable undescended testes who underwent laparoscopic orchidopexy between January 2002 and September 2003 were evaluated.
Results: Thirty testicular units were brought into the scrotum by means of laparoscopic approach: 13 right testes, 6 left, 3 bilateral, 19 palpable testes and 11 nonpalpable testes. Mean age of the patients was 21.5 months. There was only one case of testicular atrophy. Orchidopexy was achieved in 100% of patients and all but two patients were released 24 hours after surgery.
Conclusions: Laparoscopic orchidopexy for undescended testis management has grown in popularity and is becoming more reproducible and useful in relation to opportune diagnosis and treatment.