Laparoscopically assisted testicular autotransplantation for management of the intraabdominal undescended testis.
OBJECTIVE
The intra-abdominal testis continues to present a considerable urological challenge and the approach to its management continues to evolve. We report our initial experience with laparoscopically assisted testicular autotransplantation.


METHODS
An intra-abdominal testicle was identified laparoscopically in 5 patients who subsequently underwent testicular autotransplantation.


RESULTS
The success rate was 100% and median operative time was 5 hours. All patients were discharged home the day after surgery with no complications and a good result.


CONCLUSIONS
Because of success with this technique, this procedure offers significant advantages (decreased hospital stay and lower morbidity) than an open or 2-stage Fowler-Stephens approach.
Wacksman
J
J
Division of Pediatric Urology, Children's Hospital Medical Center, University of Cincinnati, Ohio, USA.
Billmire
D A
DA
Lewis
A G
AG
Sheldon
C A
CA
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003456:Cryptorchidism / Q000601:surgery*; D006801:Humans; D007223:Infant; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D013737:Testis / Q000637:transplantation