Cryptorchidism is the location of the testis spontaneously and permanently outside of the scrotum at any point from its normal route of migration. It is a condition that is common in children, and poses both a diagnostic and therapeutic problem. The various imaging techniques have proven inadequate for cryptorchidism. They are reliable or to locate a non-palpable testis or to prove its absence. Laparoscopy is currently recognized as a safe and reliable to establish an accurate diagnosis and definitive, with a sensitivity of 100%. In addition, laparoscopy is needed now as the reference technique in the therapeutic management of cryptorchidism. Progress in this disease is not only the lowering of intra-scrotal testis but also improving soil fertility and preventing a possible bed malignant later. In our retrospective study, we report our experience in pediatric surgery department, CHU Hassan II of Fès in the laparoscopic management of cryptorchidism from a series of 38 undescended testis followed during the years 2006-2009. The average age of our patients was 8,45 years (2-16 yrs), we note 31% of bilateral cryptorchidism, 69% bilaterally with predominance on the left side in 48.3%. Laparoscopic exploration revealed 17 testicular intra-abdominal position, 6 position deep inguinal and 14 cases of testicular agenesis. It was realized by lowering the laparoscopic technique by Fowler and Stevens in two stages for 18 testes, 3 cuts in a time orchiectomy and one abstained for 14 testicular agenesis and 2 testicular feminization. The decline was good, no cases of testicular atrophy was noted.
| Référence | 2116 |
| Année | 2010 |
| Type | Thèse |
| Lien document | |
| Auteur | Derouich I |
| Discipline | Chirurgie Pédiatrique 1 |
| Encadrant | Bouabdallah Y |
