Laparoscopic Assisted Orchidectomy Eases Future Insertion of Testicular Prosthesis in Paediatric Patients

Dayang Anita Abdul Aziz,Mahmud Mohd Nor,Rahmah Rasat,Suria Hayati Md Pauzi,Zainal Adwin Abidin,Zarina Abdul Latiff

doi:10.3329/bje.v2i1.19591

Abstract

High ligation orchidectomy in paediatric patients is performed for testicular tumours. This is carried out via open surgery at the inguinal or groin region. In these boys, elective insertion of testicular prostheses is carried out later to improve the external genitalia appearance. In most cases, insertion of testicular prosthesis or implant is carried out via the previous scar, to avoid prosthesis extrusion; however this is usually difficult due to scarring and may cause haematoma and possible infection. We report a novel technique of laparoscopic assisted orchidectomy in an adolescent boy with disorder of sexual development (DSD) whom was suspected of having bilateral gonadal (testicular) malignant change, he successfully underwent bilateral ligation of testicular vessels laparoscopically and removal of both testes via a midline scrotal raphe incision; hence avoiding bilateral groin incisions. With this method, future insertion of testicular prostheses can be carried out via virgin inguinal incisions.

Highlights

The standard treatment of paediatric patients with testicular tumours is to undergo radical inguinal orchidectomy and high ligation of spermatic vessels regardless of the types of testicular tumour[1, 2, 3]
Scrotal orchidectomy is performed by some centres but stand the risk of scrotal violation and incomplete resection[1, 2]
We share our experience at managing an adolescent patient with disorder of sexual differentiation (DSD) who required bilateral orchidectomy

Summary

Introduction

The standard treatment of paediatric patients with testicular tumours is to undergo radical inguinal orchidectomy and high ligation of spermatic vessels regardless of the types of testicular tumour[1, 2, 3]. INTRODUCTION The standard treatment of paediatric patients with testicular tumours is to undergo radical inguinal orchidectomy and high ligation of spermatic vessels regardless of the types of testicular tumour[1, 2, 3]. The technique was simple and complied to the principle of high ligation of spermatic vessels and intact testicular removal.

Results

Conclusion