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Diagnosis of Non-palpable Testicle in Children


Authors: O. Teyschl;  J. Tůma;  P. Gál
Authors‘ workplace: Klinika dětské chirurgie a traumatologie FN, Brno, přednosta doc. MUDr. F. Tecl, CSc.
Published in: Čes-slov Pediat 1999; (9): 487-489.
Category:

Overview

High types of undescended testes which include an abdominal or high inguinal position impose a certainproblem. Surgical methods in non-palpable testes which formerly gave satisfactory results are developed further.Miniinvasive laparoscopy is at present considered the standard method in localization and treatment of non-pal-pabler testicles. The authors used laparoscopy as a diagnostic and therapeutic method in 45 boys with annon-palpable testis, the average age of the operated patients being 4.8 years. In 14 instances they revealed agenesisor atrophy of the testis, in 15 patients they isolated the abdominally located testicle, drew it into the inguien andcompleted the procedure by classical orchidopexy. In 16 boys they used the Fowler-Stephens method and completedthe operation by orchidopexy after an interval of 2 do 4 months.

Key words:
non-palpable testis, diagnosis of cryptorchidism, laparoscopy

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Neonatology Paediatrics General practitioner for children and adolescents
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