Midline Transabdominal Approach in Impalpable Testes.
- Author:
Sang Gru KIM
1
;
Choal Hee PARK
;
Kwang Sae KIM
Author Information
1. Keimyung University School of Medicine, Taegu, Korea.
- Publication Type:Original Article
- Keywords:
cryptorchid testis;
surgery
- MeSH:
Atrophy;
Cryptorchidism;
Follow-Up Studies;
Humans;
Incidence;
Male;
Orchiopexy;
Postoperative Complications;
Testis*
- From:Korean Journal of Urology
1989;30(3):361-364
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The incidence of impalpable testis is approximately 20 percent of undescended testis population and some may possess vascular pedicle shortening that prohibits scrotal placement in one stage orchiopexy. From July 1987 through April 1988, 12 patients with 17 impalpable testicles were explored by lower midline incision and the following results were obtained : 1. We could identify and prove the location of testis and/or anorchia without postoperative complication : 10 intraabdominal testes (59%), 3 intracanalicular (18%), 4 anorchia (23%). 2. Among 10 intraabdominal testes 5 testes were brought down by transabdominal orchiopexy, 3 testes by Fowler-Stephens method, and 1 testis by staged orchiopexy and remaining testis were removed. 3. Among 3 intracanalicular testes 2 testes were brought down by transabdominal orchiopexy and one testis was removed. 4. Follow up testicular examination of fixed testes revealed no testicular atrophy in all transabdominal orchiopexed testes and no testicular atrophy in 1 of 3 testes which were performed by Fowler-Stephens method.
