AI Article Synopsis
- The study outlines a treatment protocol for impalpable testis based on data from 91 patients between 2010 and 2015.
- Diagnostic imaging, primarily ultrasounds and laparoscopy, was utilized to locate the testis, guiding the surgical procedures performed.
- The findings highlight the importance of excising testicular remnants and suggest that implanting prosthetics during surgery enhances patient outcomes.
Article Abstract
Introduction: The aim of this study is to present our treatment protocol for impalpable testis.
Material And Methods: In a retrospective study we analyzed clinical data including diagnostic procedures, intraoperative findings, final diagnosis, treatment modality, and outcome of patients with impalpable testis who underwent surgery from January 2010 until December 2015.
Results: Ninety-one patients were admitted under the diagnosis of impalpable testis. In 39 patients ultrasound detected testis in the inguinal canal and orchidopexy was done. In 25 patients (48.08%) laparoscopy showed the entrance of the spermatic cord into the inguinal canal. Open exploration of the inguinal canal was done, testicular remnant removed, and appropriate testicular prosthesis implanted. Twenty patients (20/52) underwent orchidopexy of the abdominal testis (46.51%), 4 of which underwent Fowler-Stevens procedure in two stages, and in 16 patients deliberation of the testis and spermatic cord was sufficient to place the testis into the scrotum.
Conclusions: Excision of the testicular nubbin is highly recommendable, as well as implantation of the testicular prosthesis at the time of orchiectomy.
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Source |
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6077678 | PMC |
| http://dx.doi.org/10.1155/2018/3143412 | DOI Listing |
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