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The Role of Laparoscopy in Managing Impalpable Undescended Testes in a Tertiary Hospital.

Mymensingh Med J

January 2025

Dr Mohammad Showkot Ali, Assistant Professor, Department of Pediatric Surgery, Mymensingh Medical College (MMC), Mymensingh, Bangladesh; E-mail:

One of the most prevalent congenital defects in boys is undescended testes. Ultrasound is commonly employed to locate the testis in cases of impalpable testes, which frequently yields false-negative results. Laparoscopy has gained widespread acceptance recently for managing impalpable testes.

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Objective: Cryptorchidism affects up to 6% of full-term male infants, and orchidopexy has been shown to reduce impaired spermatogenesis and malignant risks significantly. However, the relationship between orchidopexy and sexual function has not been investigated. Therefore, this study aimed to evaluate sexual function outcomes in adult patients who underwent orchidopexy for unilateral undescended testis in childhood.

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Objective: To determine the frequency and types of congenital anomalies of the kidney and urinary tract (CAKUT) in patients with Hirschsprung disease.

Study Design: An observational cross-sectional study. Place and Duration of the Study: Department of Paediatric Surgery, National Institute of Child Health, Karachi, Pakistan, from June to December 2022.

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Article Synopsis
  • Hypospadias and undescended testicles (UDT) are common conditions in boys, with a study analyzing 177 cases from 2000 to 2021 to determine the prevalence of Disorders of Sex Development (DSD) among these patients.
  • Of the patients studied, 15.3% were diagnosed with DSD, with mixed gonadal dysgenesis being the most common type (35.3%).
  • The findings indicate that those with DSD had higher rates of proximal hypospadias and lower rates of palpable gonads compared to those without DSD, suggesting a correlation between UDT and DSD.
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Article Synopsis
  • Prune belly syndrome (PBS) is a rare congenital disorder marked by underdeveloped abdominal muscles, urinary system issues, and undescended testes, with an occurrence rate of approximately 1 in 30,000 to 1 in 50,000 live births; this is the first reported case in Somalia.
  • A newborn presented with respiratory distress, jaundice, and abdominal issues, leading to diagnoses like bilateral hydroureteronephrosis and abdominal wall muscle underdevelopment, complicated by the limited healthcare resources in the region.
  • Effective management of PBS in resource-limited settings involves addressing infections, ensuring fluid balance, and dealing with urinary abnormalities, but the lack of specialized pediatric urology services complicates care.
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