Role of Laparoscopy in Management of Nonpalpable Undescended Testis in Children

Abstract

Advances in laparoscopic instrumentation and refinement in technique have contributed to the development of laparoscopic orchidopexy as the preferred treatment of the intraabdominal testis. Laparoscopy is the best method for diagnosing undescended testes .It has an accuracy rate of 100%. Laparoscopic examination of non-palpable testes is considered the most effective, rapid, accurate, least invasive procedure for localizing non-palpable testes and making sure of or precluding, the presence of the gonad. It is the only exploratory procedure that is accurate enough to enable the diagnosis of non-palpable testis and allow the surgical Treatment to be done in the same setting. However, it's strongly recommend careful exploration of the abdomen, tracing the vas and vessels, before labelling a non-palpable testis as absent. Laparoscopic orchiopexy is a natural extension of diagnostic laparoscopy for the intraabdominal testis. The reported success of laparoscopic orchidopexy for delivering a viable testicle to the scrotum with minimal postoperative morbidity is consistently reported as superior to that of the open approach. In addition, the benefits of improved cosmoses, shorter convalescence, and increased magnification allowing for better visualization have driven laparoscopic-directed management as the standard approach for the undescended testis.