Role of laparoscopy and ultrasound in the management of "impalpable testis" in children

Iskandar Rahardjo Budianto, Hock Lim Tan, Yoshiaki Kinoshita, Riana Pauline Tamba, Satoshi Leiri, Tomoaki Taguchi

    Research output: Contribution to journalArticle

    6 Citations (Scopus)

    Abstract

    Background: Undescended testes is one of the most common congenital abnormalities in boys. In cases of impalpable testes, ultrasound is often used to find the testis, which frequently provides false-negative results. Recently, laparoscopy has become popular in the management of impalpable testes.

    Methods: Retrospective study of all children with impalpable testes presenting for laparoscopy between August 2007 and July 2011 who had undergone ultrasound examinations without localizing the testes was conducted and the role of laparoscopy in diagnosing impalpable testes was evaluated.

    Results: Twenty-three patients presented with impalpable testes for laparoscopy. All patients underwent ultrasound examinations in which the testes could not be identified. Of the 23 patients, Five patients were found to have palpable testes in the superficial inguinal pouch under anesthesia and proceeded to conventional open exploration during which the testes were brought into the scrotum. Eighteen patients were found to have impalpable testes in an evaluation under anesthesia (EUA) and proceeded to laparoscopy. Twelve patients were found to have intra-abdominal testes and underwent laparoscopic-assisted orchidopexy. Three patients underwent a two-stage Fowler-Stephens procedure, and two patients with "vanishing" testes with the vas and atrophic vessels entering a closed internal ring proceeded to open exploration and orchidectomy for atrophic testes. In addition, a teenager with atrophic testes underwent laparoscopic orchidectomy.

    Conclusions: Laparoscopy is superior to ultrasound in the management of impalpable testes when high-resolution ultrasound is not available during the diagnostic process, with respect to both the sensitivity of localizing the testis and being more time and cost effective.

    Original languageEnglish
    Pages (from-to)200-204
    Number of pages5
    JournalAsian Journal of Surgery
    Volume37
    Issue number4
    DOIs
    Publication statusPublished - 1 Oct 2014

    Fingerprint

    Laparoscopy
    Testis
    Orchiectomy
    Anesthesia
    Orchiopexy
    Scrotum
    Cryptorchidism
    Groin
    Retrospective Studies

    Keywords

    • impalpable testis
    • laparoscopy
    • ultrasound
    • undescended testis

    ASJC Scopus subject areas

    • Surgery

    Cite this

    Budianto, I. R., Tan, H. L., Kinoshita, Y., Tamba, R. P., Leiri, S., & Taguchi, T. (2014). Role of laparoscopy and ultrasound in the management of "impalpable testis" in children. Asian Journal of Surgery, 37(4), 200-204. https://doi.org/10.1016/j.asjsur.2014.01.013

    Role of laparoscopy and ultrasound in the management of "impalpable testis" in children. / Budianto, Iskandar Rahardjo; Tan, Hock Lim; Kinoshita, Yoshiaki; Tamba, Riana Pauline; Leiri, Satoshi; Taguchi, Tomoaki.

    In: Asian Journal of Surgery, Vol. 37, No. 4, 01.10.2014, p. 200-204.

    Research output: Contribution to journalArticle

    Budianto, IR, Tan, HL, Kinoshita, Y, Tamba, RP, Leiri, S & Taguchi, T 2014, 'Role of laparoscopy and ultrasound in the management of "impalpable testis" in children', Asian Journal of Surgery, vol. 37, no. 4, pp. 200-204. https://doi.org/10.1016/j.asjsur.2014.01.013
    Budianto, Iskandar Rahardjo ; Tan, Hock Lim ; Kinoshita, Yoshiaki ; Tamba, Riana Pauline ; Leiri, Satoshi ; Taguchi, Tomoaki. / Role of laparoscopy and ultrasound in the management of "impalpable testis" in children. In: Asian Journal of Surgery. 2014 ; Vol. 37, No. 4. pp. 200-204.
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    abstract = "Background: Undescended testes is one of the most common congenital abnormalities in boys. In cases of impalpable testes, ultrasound is often used to find the testis, which frequently provides false-negative results. Recently, laparoscopy has become popular in the management of impalpable testes.Methods: Retrospective study of all children with impalpable testes presenting for laparoscopy between August 2007 and July 2011 who had undergone ultrasound examinations without localizing the testes was conducted and the role of laparoscopy in diagnosing impalpable testes was evaluated.Results: Twenty-three patients presented with impalpable testes for laparoscopy. All patients underwent ultrasound examinations in which the testes could not be identified. Of the 23 patients, Five patients were found to have palpable testes in the superficial inguinal pouch under anesthesia and proceeded to conventional open exploration during which the testes were brought into the scrotum. Eighteen patients were found to have impalpable testes in an evaluation under anesthesia (EUA) and proceeded to laparoscopy. Twelve patients were found to have intra-abdominal testes and underwent laparoscopic-assisted orchidopexy. Three patients underwent a two-stage Fowler-Stephens procedure, and two patients with {"}vanishing{"} testes with the vas and atrophic vessels entering a closed internal ring proceeded to open exploration and orchidectomy for atrophic testes. In addition, a teenager with atrophic testes underwent laparoscopic orchidectomy.Conclusions: Laparoscopy is superior to ultrasound in the management of impalpable testes when high-resolution ultrasound is not available during the diagnostic process, with respect to both the sensitivity of localizing the testis and being more time and cost effective.",
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    AU - Leiri, Satoshi

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