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PubMed · 10458419

Is preoperative laparoscopy useful for impalpable testis?

F Ferro·A Spagnoli·A Zaccara·A De Vico·E La Sala
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Abstract

PURPOSE: Laparoscopic assessment of pelvic anatomy has gained wide popularity over the years. Today surgical treatment of impalpable testis is nearly always preceded by diagnostic laparoscopy. The actual role of such a procedure remains undefined. We performed a prospective randomized clinical trial in patients with impalpable testis to evaluate the clinical usefulness of laparoscopy before surgical exploration. MATERIALS AND METHODS: We studied pediatric, age matched patients with impalpable testis who were randomized to group 1-30 who underwent open surgery only and group 2-31 who underwent laparoscopy and open surgery. Anatomical findings, operative procedures, operative time and cost, number of recurrences and testicular volume at followup were then compared in the 2 groups. RESULTS: There were no statistically significant differences in the 2 groups for any of the considered parameters except operative cost and time, which were significantly higher in the laparoscopy group. CONCLUSIONS: Preoperative laparoscopy does not provide any significant advantage over open surgery for treating impalpable testis.

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ChildCryptorchidismHumansLaparoscopyMalePreoperative CareProspective StudiesClinical TrialJournal ArticleRandomized Controlled Trial

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BibTeXRIS

F Ferro, A Spagnoli, A Zaccara, A De Vico, E La Sala. 1999. Is preoperative laparoscopy useful for impalpable testis?. https://doi.org/10.1016/s0022-5347(01)68044-3

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