33rd Annual Congress of Turkish Pediatric Surgical Association

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Oral Presentation - 76

LAPAROSCOPY FOR DIAGNOSIS AND TREATMENT OF NON-PALPABLE TESTICLE: CLINCAL OUTCOMES

B Aydoğdu, S Arslan, H Zeytun, E Basuguy, MH Okur, İ Uygun, S Otçu
Dicle University Medical Faculty Department of Pediatric Surgery

Introduction: Undescended testicle is one of the most common genitourinary abnormalities during childhood. 
The aim of the present study is to evaluate outcomes of the patients who had laparoscopy because of non-palpable testicle. 

Material and Method: Twenty six patients who were operated because of non-palpable testicle between 2013 and 2014 were evaluated. Laparoscopy was performed for examination and for the cases where testicles were not observed in the tests.

Findings: Twenty six patients (31 testes) who were with average age of 6 years (2-14) were evaluated. Non-palpable testicle was on the left in 13 (50%) patients, on the right in 8 (31%) patients and bilateral in 5 (19%) patients. Diagnostic laparoscopy was performed on all patients. Atrophic testicle was detected in 12 (%39) patients, intraabdominal testicle was diagnosed in 11 (%35) patients and vanishing testicle was detected in 8 (%26) patients. Testicle residue was found by an inguinal insizion and orchiectomy was performed in the patients with atrophic testicle. In 7(%64) patients with intraabdominal testicle, intraabdominal testicle was liberated laparoscopically and descended, then orchiopexy was performed.  Orchiopexy was performed on 4 (%36) patients through FowlerStephens Method in two sessions. Atrophy was detected in 1 patient who had orchiopexy during follow-up. Others are followed without any problem.

Conclusion:
Laparoscopy which may be used for diagnostic and therapeutic purposes for non-palpable testicles has high achievement rate as well as cosmetic outcomes and shorter hospitalization period.

Keywords:

NONPALPABLE TESTİSTE TANI VE TEDAVİDE LAPAROSKOPİ: KLİNİK SONUÇLARIMIZ

B Aydoğdu, S Arslan, H Zeytun, E Basuguy, MH Okur, İ Uygun, S Otçu
Dicle Üniversitesi Tıp Fakültesi Çocuk Cerrahisi AD

GİRİŞ: İnmemiş testis çocukluk çağının sık görülen genitoüriner anomaliler arasında yer almaktadır
Bu çalışmanın amacı nonpalpaple testis nedeniyle laparoskopi yapılan hastaların sonuçlarını değerlendirmektir.

MATERYAL VE METOD: 2013-2014 yılları arasında nonpalpable testis nedeniyle opere edilen 26 hasta değerlendirildi. Muayenede ve tetkiklerde testisin görülemediği durumlarda hastalara laparoskopi yapıldı.

BULGULAR: Yaşları ortalama 6 yıl (2-14) olan 26 hasta (31 testis) değerlendirildi. Hastaların, 13(%50)’ü sol, 8(%31)’i sağ, 5(%19)’i ise bilateral idi. Hastaların hepsine tanısal laparoskopi yapıldı. 12 (%39) hastada atrofik testis, 11 (%35)’unda intraabdominal testis, 8 (%26) hastada vanishing testis tespit edildi. Atrofik testis olan hastalara inguinal kesi ile testis kalıntıları bulunarak orşiektomi yapıldı. İntraabdominal testisi olan 7(%64) hasta laparoskopik olarak intraabdominal testis serbestleştirildikten sonra indirilerek orşidopeksi yapıldı. 4(%36)  hastaya ise Fowler Stephens Yöntemi ile iki seansta orşidopeksi yapıldı. Orşidopeksi yapılan 1 hastanın takiplerinde atrofi tespit edildi. Diğerleri sorunsuz takip edilmektedir.

SONUÇ:
Nonpalpable testislerde hem tanısal hem de tedavi amaçla kullanılabilen laparoskopide tanı ve tedavideki yüksek başarı oranlarının yanı sıra sağlanan kozmetik sonuçlar ve kısa yatış süreleri bu tekniğin diğer avantajları olarak görülmektedir.
Keywords:

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