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Laparoscopic orchiopexy for the high palpable undescended testis: preliminary experience
S G Docimo1, R G Moore, J Adams
1Division of Pediatric Urology, James Buchanan Brady Urological Institute, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.
Purpose:
We attempted to apply laparoscopic orchiopexy to the high palpable testis.
Materials And Methods:
Nine patients (12 testicles) were treated who ranged from 13 months to 13 years old. Laparoscopic techniques were used to mobilize the spermatic vessels and transfer the testis into the scrotum.
Results:
Unilateral cases were completed in an average of 2.6 hours and bilateral cases in 3.0 hours with no complications. Tests maintained an intrascrotal position with no atrophy during a followup of 1 to 12 months.
Conclusions:
Laparoscopic orchiopexy for the high palpable undescended testis is possible with minimal morbidity and good short-term results.