Laparoscopy for the nonpalpable testis: how to interpret the endoscopic findings

J Urol. 1990 Nov;144(5):1215-8. doi: 10.1016/s0022-5347(17)39697-0.

Abstract

We evaluated by laparoscopy 38 patients with 45 nonpalpable testes. Of 24 testes identified in the abdominal cavity 15 were atrophic, 2 had no epididymal connection and 7 were normal in appearance. Of the 38 patients 32 (84.2%) underwent exploration. A correlation of 100% occurred between laparoscopy and surgery concerning the presence or absence of the testis. Of the testes sought 60% were present (all but 1 in the abdomen) and 40% were absent. We conclude that diagnostic laparoscopy is as effective as exploration in adults and children, with a low risk of complication.

MeSH terms

  • Adolescent
  • Cryptorchidism / diagnosis*
  • Cryptorchidism / surgery
  • Humans
  • Laparoscopy*
  • Male
  • Palpation