Impalpable testis: Laparoscopy or inguinal canal exploration?
Objective. There is great controversy regarding the best approach to impalpable testis. In this retrospective study we evaluated the accuracy of intraperitoneal laparoscopy, inguinal canal exploration and ultrasound in the diagnosis of impalpable testis. Material and methods. Over a 2-year period (2...
Gespeichert in:
| Veröffentlicht in: | Scandinavian journal of urology and nephrology 2008, Vol.42 (2), p.154-157 |
|---|---|
| Hauptverfasser: | , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 157 |
|---|---|
| container_issue | 2 |
| container_start_page | 154 |
| container_title | Scandinavian journal of urology and nephrology |
| container_volume | 42 |
| creator | Sharifiaghdas, Farzaneh Beigi, Faramarz M. A. |
| description | Objective. There is great controversy regarding the best approach to impalpable testis. In this retrospective study we
evaluated the accuracy of intraperitoneal laparoscopy, inguinal canal exploration and ultrasound in the diagnosis of
impalpable testis. Material and methods. Over a 2-year period (2004-06), 76 patients with a diagnosis of uni- or bilateral
clinically impalpable testis were referred to our center. A preoperative ultrasound evaluation was done and all patients
underwent intraperitoneal laparoscopy. An inguinal canal incision and exploration was done in all cases except for patients
with high intra-abdominal testes (>2cm above the internal ring), for whom laparoscopic dissection, mobilization and
orchidopexy were necessary. Results. The mean age of the patients was 15.36 years (range 1-39 years). The undescended
testis (UDT) was right-sided in 25% of patients, left-sided in 41% and bilateral in 34%. Intraperitoneal laparoscopy,
inguinal canal exploration and ultrasound detected 70.6%, 78.4% and 15.6% of testes, respectively. Conclusions. Laparoscopy changed the management protocol of impalpable UDT in only 21% of cases. Inguinal canal exploration
alone was sufficient in the majority of our cases. We recommend laparoscopy for those patients with impalpable UDT in
whom an initial inguinal canal exploration proves negative. |
| doi_str_mv | 10.1080/00365590701514654 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_infor</sourceid><recordid>TN_cdi_proquest_miscellaneous_69419076</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>69419076</sourcerecordid><originalsourceid>FETCH-LOGICAL-c434t-54526d178194c4fe96589cc2ea09790587ba9d7519dff1de1a13c9291cbf84b43</originalsourceid><addsrcrecordid>eNp9kE1P3DAQhq2qqCzQH8AF5dLeUmYS24kLqKpWfEkrcaHnaOI4JciJg52o7L-vV7sUVUhcxod53vHMw9gxwjeEEk4BcimEggJQIJeCf2ALlALTDKT4yBabfhoBtc8OQngEgEyi_MT2sShFDpgv2MVtP5IdqbYmmUyYuvA9WdFI3gXtxnXifNINv-duIJto2lTzPFrnaerc8OOI7bVkg_m8ew_Zr6vL--VNurq7vl3-XKWa53xKBReZbOKnqLjmrVFSlErrzBCoQoEoi5pUUwhUTdtiY5Aw1ypTqOu25DXPD9nX7dzRu6c5rln1XdDGWhqMm0MlFceoQUYQt6COBwRv2mr0XU9-XSFUG2fVG2cxc7IbPte9aV4TO0kR-LIDKGiyradBd-Efl0EmIIcscudbrhta53v647xtqonW0ddLKH9vj7P_4g-G7PSgyZvq0c0-ug_vXPEXInqX7w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>69419076</pqid></control><display><type>article</type><title>Impalpable testis: Laparoscopy or inguinal canal exploration?</title><source>MEDLINE</source><source>Taylor & Francis:Master (3349 titles)</source><source>Taylor & Francis Medical Library - CRKN</source><creator>Sharifiaghdas, Farzaneh ; Beigi, Faramarz M. A.</creator><creatorcontrib>Sharifiaghdas, Farzaneh ; Beigi, Faramarz M. A.</creatorcontrib><description>Objective. There is great controversy regarding the best approach to impalpable testis. In this retrospective study we
evaluated the accuracy of intraperitoneal laparoscopy, inguinal canal exploration and ultrasound in the diagnosis of
impalpable testis. Material and methods. Over a 2-year period (2004-06), 76 patients with a diagnosis of uni- or bilateral
clinically impalpable testis were referred to our center. A preoperative ultrasound evaluation was done and all patients
underwent intraperitoneal laparoscopy. An inguinal canal incision and exploration was done in all cases except for patients
with high intra-abdominal testes (>2cm above the internal ring), for whom laparoscopic dissection, mobilization and
orchidopexy were necessary. Results. The mean age of the patients was 15.36 years (range 1-39 years). The undescended
testis (UDT) was right-sided in 25% of patients, left-sided in 41% and bilateral in 34%. Intraperitoneal laparoscopy,
inguinal canal exploration and ultrasound detected 70.6%, 78.4% and 15.6% of testes, respectively. Conclusions. Laparoscopy changed the management protocol of impalpable UDT in only 21% of cases. Inguinal canal exploration
alone was sufficient in the majority of our cases. We recommend laparoscopy for those patients with impalpable UDT in
whom an initial inguinal canal exploration proves negative.</description><identifier>ISSN: 0036-5599</identifier><identifier>EISSN: 1651-2065</identifier><identifier>DOI: 10.1080/00365590701514654</identifier><identifier>PMID: 17853013</identifier><identifier>CODEN: SJUNAS</identifier><language>eng</language><publisher>Basingstoke: Informa UK Ltd</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Child ; Child, Preschool ; Cryptorchidism - diagnosis ; Cryptorchidism - surgery ; Diagnosis, Differential ; Follow-Up Studies ; Gynecology. Andrology. Obstetrics ; Humans ; Infant ; Inguinal Canal - diagnostic imaging ; Inguinal Canal - pathology ; Inguinal Canal - surgery ; laparoscopy ; Laparoscopy - methods ; Male ; Male genital diseases ; Medical sciences ; Nephrology. Urinary tract diseases ; Non tumoral diseases ; Reproducibility of Results ; Retrospective Studies ; Treatment Outcome ; Ultrasonography ; undescended testis ; Urologic Surgical Procedures, Male - methods</subject><ispartof>Scandinavian journal of urology and nephrology, 2008, Vol.42 (2), p.154-157</ispartof><rights>2008 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 2008</rights><rights>2008 INIST-CNRS</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c434t-54526d178194c4fe96589cc2ea09790587ba9d7519dff1de1a13c9291cbf84b43</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.1080/00365590701514654$$EPDF$$P50$$Ginformahealthcare$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.1080/00365590701514654$$EHTML$$P50$$Ginformahealthcare$$H</linktohtml><link.rule.ids>314,780,784,4024,27923,27924,27925,59647,59753,60436,60542,61221,61256,61402,61437</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20250302$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17853013$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sharifiaghdas, Farzaneh</creatorcontrib><creatorcontrib>Beigi, Faramarz M. A.</creatorcontrib><title>Impalpable testis: Laparoscopy or inguinal canal exploration?</title><title>Scandinavian journal of urology and nephrology</title><addtitle>Scand J Urol Nephrol</addtitle><description>Objective. There is great controversy regarding the best approach to impalpable testis. In this retrospective study we
evaluated the accuracy of intraperitoneal laparoscopy, inguinal canal exploration and ultrasound in the diagnosis of
impalpable testis. Material and methods. Over a 2-year period (2004-06), 76 patients with a diagnosis of uni- or bilateral
clinically impalpable testis were referred to our center. A preoperative ultrasound evaluation was done and all patients
underwent intraperitoneal laparoscopy. An inguinal canal incision and exploration was done in all cases except for patients
with high intra-abdominal testes (>2cm above the internal ring), for whom laparoscopic dissection, mobilization and
orchidopexy were necessary. Results. The mean age of the patients was 15.36 years (range 1-39 years). The undescended
testis (UDT) was right-sided in 25% of patients, left-sided in 41% and bilateral in 34%. Intraperitoneal laparoscopy,
inguinal canal exploration and ultrasound detected 70.6%, 78.4% and 15.6% of testes, respectively. Conclusions. Laparoscopy changed the management protocol of impalpable UDT in only 21% of cases. Inguinal canal exploration
alone was sufficient in the majority of our cases. We recommend laparoscopy for those patients with impalpable UDT in
whom an initial inguinal canal exploration proves negative.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cryptorchidism - diagnosis</subject><subject>Cryptorchidism - surgery</subject><subject>Diagnosis, Differential</subject><subject>Follow-Up Studies</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Infant</subject><subject>Inguinal Canal - diagnostic imaging</subject><subject>Inguinal Canal - pathology</subject><subject>Inguinal Canal - surgery</subject><subject>laparoscopy</subject><subject>Laparoscopy - methods</subject><subject>Male</subject><subject>Male genital diseases</subject><subject>Medical sciences</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Non tumoral diseases</subject><subject>Reproducibility of Results</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><subject>Ultrasonography</subject><subject>undescended testis</subject><subject>Urologic Surgical Procedures, Male - methods</subject><issn>0036-5599</issn><issn>1651-2065</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1P3DAQhq2qqCzQH8AF5dLeUmYS24kLqKpWfEkrcaHnaOI4JciJg52o7L-vV7sUVUhcxod53vHMw9gxwjeEEk4BcimEggJQIJeCf2ALlALTDKT4yBabfhoBtc8OQngEgEyi_MT2sShFDpgv2MVtP5IdqbYmmUyYuvA9WdFI3gXtxnXifNINv-duIJto2lTzPFrnaerc8OOI7bVkg_m8ew_Zr6vL--VNurq7vl3-XKWa53xKBReZbOKnqLjmrVFSlErrzBCoQoEoi5pUUwhUTdtiY5Aw1ypTqOu25DXPD9nX7dzRu6c5rln1XdDGWhqMm0MlFceoQUYQt6COBwRv2mr0XU9-XSFUG2fVG2cxc7IbPte9aV4TO0kR-LIDKGiyradBd-Efl0EmIIcscudbrhta53v647xtqonW0ddLKH9vj7P_4g-G7PSgyZvq0c0-ug_vXPEXInqX7w</recordid><startdate>2008</startdate><enddate>2008</enddate><creator>Sharifiaghdas, Farzaneh</creator><creator>Beigi, Faramarz M. A.</creator><general>Informa UK Ltd</general><general>Taylor & Francis</general><general>Taylor and Francis</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2008</creationdate><title>Impalpable testis: Laparoscopy or inguinal canal exploration?</title><author>Sharifiaghdas, Farzaneh ; Beigi, Faramarz M. A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c434t-54526d178194c4fe96589cc2ea09790587ba9d7519dff1de1a13c9291cbf84b43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cryptorchidism - diagnosis</topic><topic>Cryptorchidism - surgery</topic><topic>Diagnosis, Differential</topic><topic>Follow-Up Studies</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Infant</topic><topic>Inguinal Canal - diagnostic imaging</topic><topic>Inguinal Canal - pathology</topic><topic>Inguinal Canal - surgery</topic><topic>laparoscopy</topic><topic>Laparoscopy - methods</topic><topic>Male</topic><topic>Male genital diseases</topic><topic>Medical sciences</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Non tumoral diseases</topic><topic>Reproducibility of Results</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><topic>Ultrasonography</topic><topic>undescended testis</topic><topic>Urologic Surgical Procedures, Male - methods</topic><toplevel>online_resources</toplevel><creatorcontrib>Sharifiaghdas, Farzaneh</creatorcontrib><creatorcontrib>Beigi, Faramarz M. A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Scandinavian journal of urology and nephrology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sharifiaghdas, Farzaneh</au><au>Beigi, Faramarz M. A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impalpable testis: Laparoscopy or inguinal canal exploration?</atitle><jtitle>Scandinavian journal of urology and nephrology</jtitle><addtitle>Scand J Urol Nephrol</addtitle><date>2008</date><risdate>2008</risdate><volume>42</volume><issue>2</issue><spage>154</spage><epage>157</epage><pages>154-157</pages><issn>0036-5599</issn><eissn>1651-2065</eissn><coden>SJUNAS</coden><abstract>Objective. There is great controversy regarding the best approach to impalpable testis. In this retrospective study we
evaluated the accuracy of intraperitoneal laparoscopy, inguinal canal exploration and ultrasound in the diagnosis of
impalpable testis. Material and methods. Over a 2-year period (2004-06), 76 patients with a diagnosis of uni- or bilateral
clinically impalpable testis were referred to our center. A preoperative ultrasound evaluation was done and all patients
underwent intraperitoneal laparoscopy. An inguinal canal incision and exploration was done in all cases except for patients
with high intra-abdominal testes (>2cm above the internal ring), for whom laparoscopic dissection, mobilization and
orchidopexy were necessary. Results. The mean age of the patients was 15.36 years (range 1-39 years). The undescended
testis (UDT) was right-sided in 25% of patients, left-sided in 41% and bilateral in 34%. Intraperitoneal laparoscopy,
inguinal canal exploration and ultrasound detected 70.6%, 78.4% and 15.6% of testes, respectively. Conclusions. Laparoscopy changed the management protocol of impalpable UDT in only 21% of cases. Inguinal canal exploration
alone was sufficient in the majority of our cases. We recommend laparoscopy for those patients with impalpable UDT in
whom an initial inguinal canal exploration proves negative.</abstract><cop>Basingstoke</cop><pub>Informa UK Ltd</pub><pmid>17853013</pmid><doi>10.1080/00365590701514654</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0036-5599 |
| ispartof | Scandinavian journal of urology and nephrology, 2008, Vol.42 (2), p.154-157 |
| issn | 0036-5599 1651-2065 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_69419076 |
| source | MEDLINE; Taylor & Francis:Master (3349 titles); Taylor & Francis Medical Library - CRKN |
| subjects | Adolescent Adult Biological and medical sciences Child Child, Preschool Cryptorchidism - diagnosis Cryptorchidism - surgery Diagnosis, Differential Follow-Up Studies Gynecology. Andrology. Obstetrics Humans Infant Inguinal Canal - diagnostic imaging Inguinal Canal - pathology Inguinal Canal - surgery laparoscopy Laparoscopy - methods Male Male genital diseases Medical sciences Nephrology. Urinary tract diseases Non tumoral diseases Reproducibility of Results Retrospective Studies Treatment Outcome Ultrasonography undescended testis Urologic Surgical Procedures, Male - methods |
| title | Impalpable testis: Laparoscopy or inguinal canal exploration? |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-29T08%3A48%3A22IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_infor&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Impalpable%20testis:%20Laparoscopy%20or%20inguinal%20canal%20exploration?&rft.jtitle=Scandinavian%20journal%20of%20urology%20and%20nephrology&rft.au=Sharifiaghdas,%20Farzaneh&rft.date=2008&rft.volume=42&rft.issue=2&rft.spage=154&rft.epage=157&rft.pages=154-157&rft.issn=0036-5599&rft.eissn=1651-2065&rft.coden=SJUNAS&rft_id=info:doi/10.1080/00365590701514654&rft_dat=%3Cproquest_infor%3E69419076%3C/proquest_infor%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=69419076&rft_id=info:pmid/17853013&rfr_iscdi=true |