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.
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 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: |