Page 25 - WJOLS - Laparoscopic Journal

Shahid Ahmed Shaikh

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In the series of Agarwal A et al which carries out 3. Lindgren BW, Darby EC, Faiella L, et al. Laparoscopic
staged Flower-Stephen procedure, where both the stages orchiopexy : Procedure of choice for the nonpalpable testis?. J.
The Journal of Urology 1998;159:2132-35.
were carried out by laparoscopy. The results were almost 4. Poenaru D. Laparoscopic management of the impalpable
100%. abdominal testis urology 1993;42:574-78.
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In the study conducted by Espasito C et al, they 5. McAleer IM, Packer MG, Kaplan GW, et al. Fertility index
followed-up the cases that had undergone LO by staged analysis in cryptorchidism. J Urol 1995;153(4):1225-28.
Flower-Stephen technique for more than 10 years 6. Tzvetkova P. Tzvetkov D. Etiopathogenesis of cryptorchidism
postoperatively, and they had more than 83% success rate. and male infertility. Arch Androl Sept-oct 1996;37(2):117-25.
These results clear the doubts about the long-term results 7. Cortes D, Thorup JM, Visfeldt J. Cryptorchidism: Aspects of
infertility and neoplasms. A study including data of 1,335
of the use of laparoscopy. consecutive boys who underwent testicular biopsy
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In the study conducted by Kaye JD they performed simultaneously with surgery for cryptorchidism. Horm Res
bilateral LO in single setting as an outpatient basis for 42 2001;55(1):11-17.
testis on 21 boys with a median age of 9 months and their 8. Farrer JH, Walker AH, Rajfr J. Management of the postpubertal
overall result was 91%. This looks very interesting as the cryptorchid testis: A statistical review. J urol Dec 1985;
entire patient were treated as OPD patients with such 134(6):1071-76.
excellent results. This study shows that morbidity is very 9. Whitaker RH. Management of the undescended testis. Br J Hosp
Med. 1970:4:25.
less with laparoscopic in particular surgery and also holds 10. Abratt RP, Reddi VB, Sarembock LA. Testicular cancer and
the same in general for all the laparoscopic procedures. cryptorchidism. Br J Urol. 1992;70(6):656-59.
It can be said that laparoscopy because of its 11. Battaglino F, Pesce C, Musi L, et al. Non- palpable testis: Modern
magnification and illumination gives a more clear picture of diagnostic and therapeutic trends. Pediatr Med Chir 1996;18
the anatomy and visualization of vessels compared to open (5 suppl):45-48.
procedure. Another advantage is that it can help in better 12. Chang B, Palmer LS, Franco I. Laparoscopic orchidopexy: A
dissection in places where it is difficult to approach in open review of a large clinical series. BJU Int. 2001;87(6):
490-93.
surgery. But we have to definitely agree that complex 13. Argoz Rodriguez MD, Unda Freire, et al. Diagnosis and
laparoscopic procedures require more skills to perform, therapeutic laparoscopy for nonpalpable testis. Surg Endosc.
which can only be achieved with more advance training 2003;17(11):1756-58.
and dedication. 14. Samadi AA, Palmer LS, Franco I. Laparoscopic orchiopexy:
Report of 203 cases with the review of diagnosis, operative
CONCLUSION technique, and lessons learned. J Endourol. 2003; 17(6):365-68.
15. Radmayr C, Oswald J, et al. Long-term outcome of
Laparoscopic management of impalpable testis had rapidly lapraoscopically managed nonpalpable testes. J Urol 2003;170
gained popularity in the last decade. Diagnostic laparoscopy (6 pt 1):2409-11.
for impalpable testis has become Gold standard. Diagnostic 16. Bittencourt DG, Mirinda ML. The role of videolaparoscopy in
and therapeutic procedure can be performed at one sitting the diagnostic and therapeutic approach of nonpalpable testis.
Int Braz J Urol 2003;29(4):345-51.
with less morbidity, excellent results, short stay in hospital 17. Leung MV, Chao NS, Wong BP, et al. Laparoscopic mobilization
and better cosmetic outcome. After the review of the recent of testicular vessels: An adjunctive step in orchiopexy for
articles and their results it looks like a consensus of opinion impalpable and redo undescended testis in children. Padiatric
is emerging among the surgeons for accepting laparoscopic Surg int 2005;21(9):767-9. Epub 2005 oct 20.
orchidopexy as a standard procedure for the management 18. Corvin S, Sturum W, Anastasiadis A, et al. Laparoscopic
of impalpable testis. management of the adult nonpalpable testicle. Uro int 2005;
75(4):337-39.
19. Satar N, Bayazit Y, Doran S. Laparoscopy in the management
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