DOI: 10.36347/sjams.2021.v09i05.014

Pages: 695-698

Background: Undescended testis is a common abnormality, affecting 3–5 % of male infants at birth. Elongation of the testicular vessels is an important point in considering the procedure of choice. Fowler and Stephen showed that the division of testicular vessels, as high as possible to maintain collateral blood supply as the best way to manage high intra-abdominal testis. Moreover, single stage orchidopexy either laparoscopic assisted or open is another choice. In addition to orchidectomy. all of them made the study worthy for a definite diagnostic step to have a definite plan of your patient. Objective: To illustrate our experience on Queen Rania Al Abdulla hospital for children in the management of impalpable undescended testis according to the diagnostic laparoscopic findings. Method: We performed a retrospective data analysis of the medical records of 108 patients who underwent diagnostic laparoscopic for intraabdominal high testis in our department from august 2015 to February 2019 according to the findings we decide how to go for the definite procedure with the best outcomes. Result: The total number of children who underwent laparoscopy is 108 patients, however 18 have bilateral impalpable testes. One third of them was right sided and two third was left side impalpable testis. Then we classify the patients according to the presence of testis intraoperative, 55 testis have vas and vessels passed through the ring for which we explore the inguinal area. Furthermore, 51 has orchidopexy with good size testis and 4 testis underwent orchiectomy as the testis was atrophied. On the other hand, we found 16 atrophied testis intraabdominal for this we did laparoscopic removal. For the 55 viable testis 50 of them underwent first stage Fowler stephens procedure and the remaining 5 testis underwent primary laparoscopic orchidopexy. Conclusion: Laparoscopic exploration of the impalpable testis is the cornerstone in the management and treatment of impalpable testis ...