Laparoscopically Assisted Testicular Autotransplantation for Management of the Intra-Abdominal Undescended Testis

Abstract

Purpose The intra-abdominal testis continues to present a considerable urological challenge and the approach to its management continues to evolve. We report our initial experience with laparoscopically assisted testicular autotransplantation. Materials and Methods An intra-abdominal testicle was identified laparoscopically in 5 patients who subsequently underwent testicular autotransplantation. Results The success rate was 100 percent and median operative time was 5 hours. All patients were discharged home the day after surgery with no complications and a good result. Conclusions Because of success with this technique, this procedure offers significant advantages (decreased hospital stay and lower morbidity) than an open or 2-stage Fowler-Stephens approach.