Laparoscopic Testicular Preservation in Adults with Intra-Abdominal Cryptorchidism: Is It Beneficial?
Purpose. To present the results in a midterm followup of laparoscopic testicular preservation in adults with intra-abdominal cryptorchidism. Methods. We analyzed 14 adult patients with cryptorchidism (19 testes) submitted to transabdominal laparoscopic evaluation and treatment of the condition. Data...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Advances in Urology |
| Online Access: | http://dx.doi.org/10.1155/2012/329237 |
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| author | Fábio César Miranda Torricelli Marco Antonio Arap Ricardo Jordão Duarte Anuar Ibrahim Mitre Miguel Srougi |
| author_facet | Fábio César Miranda Torricelli Marco Antonio Arap Ricardo Jordão Duarte Anuar Ibrahim Mitre Miguel Srougi |
| author_sort | Fábio César Miranda Torricelli |
| collection | DOAJ |
| description | Purpose. To present the results in a midterm followup of laparoscopic testicular preservation in adults with intra-abdominal cryptorchidism. Methods. We analyzed 14 adult patients with cryptorchidism (19 testes) submitted to transabdominal laparoscopic evaluation and treatment of the condition. Data was collected retrospectively from a prospective database from August 2005 to May 2010. It analyzed patient age, affected side, procedure, mean operative time, mean hospital stay, postoperative testis position, intra- and postoperative complications, presence of malignancy in the removed testis, and midterm outcomes: size of the testis, development of tumors, and fertility. Results. Mean patient age was 29 (18–54) years. Thirteen (68.4%) testes were preserved. There were no intra- or postoperative complications. After a mean followup of 48.7 (20–64) months, all patients submitted to orchiopexy had the organs correctly positioned, although 2 testes were significantly smaller than before the procedure. No patient presented any signs of malignancy during the followup. Fertility was not preserved in bilateral cases. Conclusion. Laparoscopic testicular evaluation and eventual preservation are feasible and safe. In a midterm followup, testicular tumor is not a concern, and unfortunately, fertility may not be preserved in bilateral cases. |
| format | Article |
| id | doaj-art-1cbbd5bf9ae34d4a90a56a5bfbc1749c |
| institution | Kabale University |
| issn | 1687-6369 1687-6377 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Urology |
| spelling | doaj-art-1cbbd5bf9ae34d4a90a56a5bfbc1749c2025-08-20T03:54:51ZengWileyAdvances in Urology1687-63691687-63772012-01-01201210.1155/2012/329237329237Laparoscopic Testicular Preservation in Adults with Intra-Abdominal Cryptorchidism: Is It Beneficial?Fábio César Miranda Torricelli0Marco Antonio Arap1Ricardo Jordão Duarte2Anuar Ibrahim Mitre3Miguel Srougi4Division of Urology, Hospital das Clinicas, University of São Paulo Medical School, Avenue Vereador Jose Diniz 3300, Conjunto 208, 04604-006 Sao Paulo, SP, BrazilDivision of Urology, Hospital das Clinicas, University of São Paulo Medical School, Avenue Vereador Jose Diniz 3300, Conjunto 208, 04604-006 Sao Paulo, SP, BrazilDivision of Urology, Hospital das Clinicas, University of São Paulo Medical School, Avenue Vereador Jose Diniz 3300, Conjunto 208, 04604-006 Sao Paulo, SP, BrazilDivision of Urology, Hospital das Clinicas, University of São Paulo Medical School, Avenue Vereador Jose Diniz 3300, Conjunto 208, 04604-006 Sao Paulo, SP, BrazilDivision of Urology, Hospital das Clinicas, University of São Paulo Medical School, Avenue Vereador Jose Diniz 3300, Conjunto 208, 04604-006 Sao Paulo, SP, BrazilPurpose. To present the results in a midterm followup of laparoscopic testicular preservation in adults with intra-abdominal cryptorchidism. Methods. We analyzed 14 adult patients with cryptorchidism (19 testes) submitted to transabdominal laparoscopic evaluation and treatment of the condition. Data was collected retrospectively from a prospective database from August 2005 to May 2010. It analyzed patient age, affected side, procedure, mean operative time, mean hospital stay, postoperative testis position, intra- and postoperative complications, presence of malignancy in the removed testis, and midterm outcomes: size of the testis, development of tumors, and fertility. Results. Mean patient age was 29 (18–54) years. Thirteen (68.4%) testes were preserved. There were no intra- or postoperative complications. After a mean followup of 48.7 (20–64) months, all patients submitted to orchiopexy had the organs correctly positioned, although 2 testes were significantly smaller than before the procedure. No patient presented any signs of malignancy during the followup. Fertility was not preserved in bilateral cases. Conclusion. Laparoscopic testicular evaluation and eventual preservation are feasible and safe. In a midterm followup, testicular tumor is not a concern, and unfortunately, fertility may not be preserved in bilateral cases.http://dx.doi.org/10.1155/2012/329237 |
| spellingShingle | Fábio César Miranda Torricelli Marco Antonio Arap Ricardo Jordão Duarte Anuar Ibrahim Mitre Miguel Srougi Laparoscopic Testicular Preservation in Adults with Intra-Abdominal Cryptorchidism: Is It Beneficial? Advances in Urology |
| title | Laparoscopic Testicular Preservation in Adults with Intra-Abdominal Cryptorchidism: Is It Beneficial? |
| title_full | Laparoscopic Testicular Preservation in Adults with Intra-Abdominal Cryptorchidism: Is It Beneficial? |
| title_fullStr | Laparoscopic Testicular Preservation in Adults with Intra-Abdominal Cryptorchidism: Is It Beneficial? |
| title_full_unstemmed | Laparoscopic Testicular Preservation in Adults with Intra-Abdominal Cryptorchidism: Is It Beneficial? |
| title_short | Laparoscopic Testicular Preservation in Adults with Intra-Abdominal Cryptorchidism: Is It Beneficial? |
| title_sort | laparoscopic testicular preservation in adults with intra abdominal cryptorchidism is it beneficial |
| url | http://dx.doi.org/10.1155/2012/329237 |
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