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Management of bilateral nonpalpable testes: laparoscopic diagnosis and orchidectomy
R Hauser1, J B Lessing, D Samuel
1Department of Obstetrics and Gynecology A, Tel Aviv Sourasky Medical Center, Serlin Maternity Hospital, Sackler Faculty of Medicine, Tel Aviv University, Israel.
Abstract:
Bilateral nonpalpable testes in the adult human are associated with testicular malignancy, infertility and other abnormalities. Investigation for localization of the testes is mandatory, and either orchidopexy or orchidectomy is indicated. Laparoscopy was performed in an azoospermic male with bilateral unpalpable testes. A diagnosis of intra-abdominal testes was made and bilateral orchidectomy was performed. Laparoscopy is recommended for diagnosis and precise localization, as well as for orchidectomy, thus avoiding open abdominal operation in cases of intra-abdominal testes.