The Evaluation of Laparoscopic Orchiopexy on the Treatment of Non-Palpable Undescended Testis in Ekbatan Hospital of Hamadan (2006-2008)

Introduction & Cryptorchidism is the most frequent birth abnormaly in boys with the prevalence of 2-5% in full term infants. This abnormaly is associated with an increased risk of testicular cancer and infertility as well as hernia, testicular torsion, and psychological distress. Surgery is the main treatment method for this abnormaly. This study was aimesd to evaluate the therapeutic efficacy of laparoscopic orchiopexy in the treatment of non-palpable undescended testis. In this descriptive cross-sectional study, 40 patients with a non-palpable testis underwent by laparoscopic orchiopexy in Ekbatan hospital located in Hamedan from the winter of 2006 to the autumn of 2009. The patients were followed up after the surgery and 3 month later than that, regarding their response to the treatment and the testicular atrophy. The average age of patients was 19±12.16. Thirteen patients did not have a testis in the laparoscopic investigation and 6 patients had testes located in the inguinal canal. So these people were excluded from the analysis. 17 patients were treated by 1-stage laparoscopic orchiopexy while 4 patients were treated by a 2-stage Fowler-Stephens laparoscopic orchiopexy. The success rate for the treatment turned out to be 100%. Laparoscopic orchiopexy is a safe and effective method for the treatment of non-palpable undescended testes.