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A Journal on Pediatrics, Neonatology, Adolescent Medicine,
Child and Adolescent Psychiatry
Indexed/Abstracted in: CAB, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,532
Minerva Pediatrica 2010 June;62(3):245-7
Effectiveness of primary inguinal orchiopexy as treatment of non-palpable testes in the first two years of age
Canavese F. 1, Lala R. 2, Valfrè L. 1, Vinardi S. 1, Bianco E. 1, Cortese M. G. 1 ✉
1 Department of Pediatric Surgery, Regina Margherita Children’s Hospital, Turin, Italy;
2 Department of Endocrinology, Regina Margherita Children’s Hospital, Turin, Italy
AIM: The best treatment of non-palpable testes is currently argument of debate. The aim of present study was to describe authors’ experience in surgical treatment with inguinal standard orchidopexy of non-palpable testes.
METHODS: In the last 17 years we have treated 2 002 cryptorchid testes, among these 327 (16.33%) were non palpable. Age and distribution of cryptorchid testes was: 0-1 y (165 NPT), 1-2 y (84 NPT), 2-5 y (43 NPT), 5-10 y (16 NPT) and >10 y (19 NPT).
RESULTS: Non-palpable testes were diagnosed and treated earlier (76.14% in the first two years). At surgical examination 204 (62.38%) were intrabdominal, 80 (24.46%) were atrophic and 43 (13.14%) vanishing. Among atrophic testes 54 (67.5%) were intracanicular, 21 (26.5%) were at the external inguinal ring, 4 (5%) were intrabdominal and 1 (1.25%) ectopic; among vanishing testes 22 (51.16%) were intrabdominal, 14 (32.55%) intracanicular and 7 (16.27%) at the external ring of inguinal canal.
CONCLUSION: Atrophic and vanishing testes were in intrabdominal location in 26 cases: only in these cases (7.95% of all non palpable testes) laparoscopy should have avoided inguinal surgery. Inguinal standard orchiopexy performed as day-surgery with general anaesthesia associated to caudal analgesia should be considered effective and less invasive than laparoscopic approach.