Ten boys with non-palpable testes were included in this study. All boys were studied
by clinical examination, urinalysis, complete blood count, hormonal measurement in
bilateral cases (FSH, LH and testosterone) and inguinal ultrasound. The age of the
studied group ranged from 2.5 to 11 years. The disease was unilateral in seven boys
and bilateral in three. Eleven testes were found to be intracanalicular in position and
two intra-abdominal. Operative time ranged from 70 to 120 minutes. Complications
encountered included preperitoneal insuffiation in one, infection in two and
pneumoscrotum in two patients. Nine-month mean follow-up showed persistent
dependent scrotal position without atrophy or retraction in any case. The technique
proved to be an accurate diagnostic procedure and could be a reliable alternative
surgical modality. |