559 LAPAROSCOPIC ORCHIECTOMY FOR TESTICULAR NUBBIN IN IMPALPABLE TESTIS

Abstract

You have accessJournal of UrologyPediatrics: Congenital Anomalies - Lower Urinary Tract & Genitalia1 Apr 2011559 LAPAROSCOPIC ORCHIECTOMY FOR TESTICULAR NUBBIN IN IMPALPABLE TESTIS Yasuyuki Naito, Akihiro Kawauchi, Kazumi Kamoi, Jintetsu Soh, and Tsuneharu Miki Yasuyuki NaitoYasuyuki Naito Kyoto, Japan More articles by this author , Akihiro KawauchiAkihiro Kawauchi Kyoto, Japan More articles by this author , Kazumi KamoiKazumi Kamoi Kyoto, Japan More articles by this author , Jintetsu SohJintetsu Soh Kyoto, Japan More articles by this author , and Tsuneharu MikiTsuneharu Miki Kyoto, Japan More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.1284AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Recently many cases of laparoscopic treatments for impalpable testes have been reported. Generally, laparoscopy is performed first, followed by laparoscopic orchiopexy in cases of intra-abdominal testes. If the testis is not observed intra-abdominally, it is a common practice to explore the inguinal canal to remove the nubbin. From 1996, we have used a different technique to detach the inguinal canal intra-abdominally and to remove the nubbin without incision in the groin or scrotum. We present herein the outcomes of pure laparoscopic orchiectomy for testicular nubbin in impalpable testis. METHODS Laparoscopic orchiectomy were performed for 35 cases in our department from 1996 to 2010. At first laporoscopy from the umbilical port (5mm) were performed for impalpable testis. For the cases with vas deferens and spermatic artery and vein entering into the internal inguinal ring, the inguinal canal was detached intra-abdominally without incision in the groin to remove the nubbin followed by closing internal ring and the peritoneum. We used additional two ports (5 and 3mm) for laporoscopic orchiectomy. RESULTS The operation time of the laparoscopic orchiectomy procedure (including laparoscopic observation) in 35 cases ranged from 45 to 105 minutes (median: 65 minutes). We were able to close internal ring and the peritoneum completely by 5-0 absorbable suture. The average of hospital stay was 1.5 days. There were no complications in any cases of orchiectomy. All patients showed no inguinal hernia after operation. The latest case, we performed laparoendoscopic single site surgery (the umbilical single port) for the same condition. The operation time was 75minutes. CONCLUSIONS It seems to be feasible to diagnose and remove the testicular nubbin in the inguinal canal laparoscopically without incision in the groin or scrotum. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e226 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Yasuyuki Naito Kyoto, Japan More articles by this author Akihiro Kawauchi Kyoto, Japan More articles by this author Kazumi Kamoi Kyoto, Japan More articles by this author Jintetsu Soh Kyoto, Japan More articles by this author Tsuneharu Miki Kyoto, Japan More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...