Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
A multi-institutional analysis of laparoscopic orchidopexy
Autore:
Baker, LA; Docimo, SG; Surer, I; Peters, C; Cisek, L; Diamond, DA; Caldamone, A; Koyle, M; Strand, W; Moore, R; Mevorach, R; Brady, J; Jordan, G; Erhard, M; Franco, I;
Indirizzi:
Johns Hopkins Hosp, James Buchanan Brady Urol Inst, Baltimore, MD 21287 USA Johns Hopkins Hosp Baltimore MD USA 21287 l Inst, Baltimore, MD 21287 USA Childrens Hosp, Div Urol, Boston, MA 02115 USA Childrens Hosp Boston MA USA 02115 s Hosp, Div Urol, Boston, MA 02115 USA Rhode Island Hosp, Dept Urol, Providence, RI USA Rhode Island Hosp Providence RI USA Hosp, Dept Urol, Providence, RI USA Childrens Hosp Denver, Div Paediat Nephrol, Denver, CO USA Childrens Hosp Denver Denver CO USA Div Paediat Nephrol, Denver, CO USA Univ Texas SW, Childrens Med Ctr, Dept Urol, Div Paediat Urol, Dallas, TX USA Univ Texas SW Dallas TX USA Dept Urol, Div Paediat Urol, Dallas, TX USA St Louis Univ Hosp, Dept Surg, Div Urol, St Louis, MO USA St Louis Univ Hosp St Louis MO USA Dept Surg, Div Urol, St Louis, MO USA Portsmouth Naval Hosp, Naval Med Ctr, Dept Urol, Portsmouth, VA USA Portsmouth Naval Hosp Portsmouth VA USA r, Dept Urol, Portsmouth, VA USA Eastern Virginia Med Sch, Dept Urol, Norfolk, VA 23501 USA Eastern Virginia Med Sch Norfolk VA USA 23501 Urol, Norfolk, VA 23501 USA Nemours Childrens Clin, Jacksonville, FL USA Nemours Childrens Clin Jacksonville FL USA ns Clin, Jacksonville, FL USA New York Med Coll, Westchester Cty Med Ctr, Valhalla, NY 10595 USA New York Med Coll Valhalla NY USA 10595 y Med Ctr, Valhalla, NY 10595 USA
Titolo Testata:
BJU INTERNATIONAL
fascicolo: 6, volume: 87, anno: 2001,
pagine: 484 - 489
SICI:
1464-4096(200104)87:6<484:AMAOLO>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
FOWLER-STEPHENS ORCHIOPEXY; NONPALPABLE TESTIS; UNDESCENDED TESTIS; IMPALPABLE TESTES; ABDOMINAL TESTIS; MANAGEMENT; CRYPTORCHIDISM; EXPERIENCE; CHILDREN; ACCURACY;
Keywords:
laparoscopic; orchidopexy; outcome; combined analysis; testis; impalpable;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
27
Recensione:
Indirizzi per estratti:
Indirizzo: Docimo, SG Johns Hopkins Hosp, James Buchanan Brady Urol Inst, Baltimore, MD 21287 USA Johns Hopkins Hosp Baltimore MD USA 21287 timore, MD 21287 USA
Citazione:
L.A. Baker et al., "A multi-institutional analysis of laparoscopic orchidopexy", BJU INT, 87(6), 2001, pp. 484-489

Abstract

Objective To combine and analyse the results from centres with a large experience of laparoscopy for the impalpable testis with small series, to determine the expected success rate for laparoscopic orchidopexy. Methods A questionnaire was distributed to participating paediatric urologists: each contributor retrospectively reviewed the clinical charts for their cases of therapeutic laparoscopy for an impalpable testis, detailing 36 variables for each patient. The data were collated centrally into a computerized database. For inclusion, the testis was intra-abdominal (including 'peeping' at the internal ring) at laparoscopic examination, was not managed through an open approach and did not undergo orchidectomy. Three surgical groups were assessed. with success defined as lack of atrophy and intrascrotal position: group 1. primary laparoscopic orchidopexy: group 2, a one-stage Fowler-Stephens (F-S) orchidopexy: and group 3, a two-stage F-S orchidopexy. Results Data were gathered from 10 centres in the USA, covering the period1990-1999: 252 patients representing 310 testes were included and overall,15.2'%, were lost to follow-up. There was no significant difference between success rates in the larger and smaller series. Atrophy occurred in 2.2% of 178 testes, 22.2% of 27 testes and 10.3% of 58 testes in groups 1-3, respectively. Testes were not in a satisfactory scrotal position in 0.6%, 7.4%and 1.7%, of groups 1-3, respectively. The mean follow-up for each group was 7.7, 8.6 and 20.0 months, respectively. The overall success for all groups was 92.8% (97.2% group 1; 74.1% group 2: 87.9% group 3), with an atrophyrate of 6.1%. Conclusion Laparoscopic orchidopexy for the intra-abdominal testis, in both large and small series, can be expected to have a success rate higher than that historically ascribed to open orchidopexy. Within this series, single-stage F-S laparoscopic orchidopexy resulted in a significantly higher atrophy rate than the two-stage repair, However, when considering both F-S approaches. the laparoscopic approach gave greater success than previously reported for the same open approaches. Despite the weaknesses inherent in a retrospective unrandomized study, we conclude that laparoscopic orchidopexy is, if not the procedure of choice. an acceptable and successful approach tothe impalpable undescended testicle.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/01/20 alle ore 04:37:58