1620 RISK FACTORS FOR CONTRALATERAL PATENT PROCESSUS VAGINALIS DETERMINED BY TRANSINGUINAL LAPAROSCOPIC EXAMINATION

Abstract

You have accessJournal of UrologyPediatrics: Congenital Anomalies - Lower Urinary Tract & Genitalia II1 Apr 20121620 RISK FACTORS FOR CONTRALATERAL PATENT PROCESSUS VAGINALIS DETERMINED BY TRANSINGUINAL LAPAROSCOPIC EXAMINATION Dong-Gi Lee, Young-Suk Lee, Kwan Hyun Park, and Minki Baek Dong-Gi LeeDong-Gi Lee Seoul, Korea, Republic of More articles by this author , Young-Suk LeeYoung-Suk Lee Changwon, Korea, Republic of More articles by this author , Kwan Hyun ParkKwan Hyun Park Ulsan, Korea, Republic of More articles by this author , and Minki BaekMinki Baek Seoul, Korea, Republic of More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.1415AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Concurrent contralateral inguinal exploration in children with unilateral hernia or hydrocele has been debated. The aim of our study was to investigate the incidence of contralateral patent processus vaginalis (CPPV) using transinguinal laparoscopy (inguinoscopy). In order to facilitate the selection of appropriate candidates for contralateral examination, the risk factors of CPPV were evaluated. METHODS One hundred and nineteen patients who presented with unilateral hydrocele, inguinal hernia, or cryptorchidism between 2001 and 2008 underwent inguinoscopy during the ipsilateral operation. All data were collected prospectively. We investigated the incidence of CPPV (Fig. 1) and analyzed the risk factors affecting the presence of CPPV. RESULTS Twenty-nine patients (24.4%) had CPPV confirmed by inguinoscopy. There were no operative complications during inguinoscopy. Age, preterm birth, lower birth weight, the affected side, a history of contralateral disease, a suspicious physical examination, an ipsilateral hernia, and ipsilateral cryptorchidism did not influence the incidence of CPPV. Cases with suspicious ultrasound findings were at higher risk of CPPV than cases with normal findings (odds ratio = 13.800, P =.004). History of contralateral disease was also a significant risk factor (odds ratio = 4.008, P =.019). CONCLUSIONS The significant risk factors for CPPV were suspicious findings on ultrasound and history of contralateral disease. Therefore, we concluded that it is beneficial to perform inguinoscopy in children with these risk factors. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e655 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Dong-Gi Lee Seoul, Korea, Republic of More articles by this author Young-Suk Lee Changwon, Korea, Republic of More articles by this author Kwan Hyun Park Ulsan, Korea, Republic of More articles by this author Minki Baek Seoul, Korea, Republic of More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...