LAPAROSCOPIC ORCHIOPEXY - CLINICAL-EXPERIENCE AND DESCRIPTION OF TECHNIQUE

Purpose: We reviewed the experience, early followup and technique of l aparoscopic treatment of the nonpalpable undescended testis at our ins titution. Materials and Methods: Charts of patients who underwent lapa roscopic treatment of an intra-abdominal testis from September 1992 to October 1994 were reviewed. Results: A total of 13 laparoscopic orchi opexies was performed on 11 children with nonpalpable undescended test es. In 10 cases sufficient length was gained on the spermatic vessels using laparoscopic dissection to perform tension-free orchiopexy witho ut the need for division of the spermatic vessels. Conclusions: When l ocalization of an intra-abdominal testis is confirmed, orchiopexy can be performed safely with minimal morbidity using a laparoscopic approa ch. Length of hospital stay and postoperative morbidity may be improve d in comparison to traditional techniques.