Downloads: 1
Case Studies | Urology | Volume 15 Issue 4, April 2026 | Pages: 766 - 768 | India
Laparoscopic Orchiopexy for Intra-Abdominal Testes: Our Experience
Abstract: Introduction: Undescended testis is one of the most common congenital anomaly, occurring in 1% to 9% of full-term and 1% to 45% of preterm new born males1. Affecting about 1% of boys at age of one year, of these 20% have a non-palpable testis with a probability of absent testis. Although 80% to 85% of cases are isolated, or non-syndromic. This may have a significant impact on the possibility of malignancy in these testes, as well as on the later fertility of these subjects. Materials and Methods: We retrospectively analysed the clinical findings, as well as follow up at 3 month and at 6 month. 19 patients were diagnosed with intra-abdominal testis between March 2026 April 2025.All patients were re-examined under general anaesthesia to confirm that the testes were intra-abdominal. Non-palpable testes were imaged by USG ?MRI Pneumoperitoneum was created by inserting a 6 mm port supra umblically using open technique followed by two 6 mm ports. We tried to identify the testes, testicular vessels, vas deferens and whether the deep inguinal rings were open or closed. Laparoscopic findings were classified according to location of these structures and used to determine subsequent management. In none of the cases testis was absent. Result: We analysed 19 patients, (4 with bilateral, 11 right, 4 left). Of 23 testes, 21 were treated with primary laparoscopic orchiopexy (PLO) sparing the internal spermatic vessel and vas deference. Of 2 cases converted to open exploration because of injury to branch of inferior epigastric vessel in one case, injury to unnamed branch of external iliac vessel in another case. Of 1 patient diagnosed with inguinal testis on diagnostic laparoscopy so spermatic vessel and vas deference mobilised and open inguinal orchiopexy done. 1 testis located very high in right iliac fossa this patient did not give consent for orchidectomy or two stage surgery so the procedure was deferred. Testicular survival rate were 95.5% at 3 month and 89.4% at 6month because of two patients lost in follow up and 81% testes were located in lower scrotum and 14% upper scrotum at 3month. 78% testes were located in lower scrotum at 3month. Conclusion: Laparoscopy is very useful for the diagnosis and treatment of impalpable testes. We measured mobility of the testis towards the contra-lateral internal deep inguinal ring is best predictor for the type of orchiopexy. we suggest periodic follow-up evaluating the size and vascularity of pexed testes by local examination and USG.
Keywords: undescended testis, laparoscopic orchiopexy, intra abdominal testis, non palpable testis, pediatric testicular surgery
How to Cite?: Dr. Pranjal Moharjal, Dr. Apoorv R Shastri, Dr. Rambir Singh, Dr. Aayush Mittal, "Laparoscopic Orchiopexy for Intra-Abdominal Testes: Our Experience", Volume 15 Issue 4, April 2026, International Journal of Science and Research (IJSR), Pages: 766-768, https://www.ijsr.net/getabstract.php?paperid=SR26408161109, DOI: https://dx.dx.doi.org/10.21275/SR26408161109