训练用单针/双针带线【出售】-->外科训练模块总目录
0.5、1、2、3.5、5mm仿生血管仿生体 - 胸腹一体式腹腔镜模拟训练器
仿气腹/半球形腹腔镜模拟训练器
[单端多孔折叠]腹腔镜模拟训练器
「训练教具器械汇总」管理员微信/QQ12087382[问题反馈]
开启左侧

[泌尿] 腹腔镜诊断 - 1岁的男孩,未触及睾丸(睾丸发育不全)

[复制链接]
发表于 2016-9-21 17:00:06 | 显示全部楼层 |阅读模式
 楼主| 发表于 2016-9-21 17:00:07 | 显示全部楼层

                               
登录/注册后可看大图

1 year old boy with non palpable left testis since birth, right side normal testis on the scrotum. Ultrasound found no testis on left side.
Laparoscopy was performed to diagnose and possible threatment.
During the surgery, only a vas deferens stump was visualized on the left side, without testicular vessels. Ressection of the vas deferens stump (Orchidolysis) was performed to avoid possible malignization of the stump.

Surgical Crew: IgorTFerreira / Dr. Aratanha

November 2015


Brief Literature Review About Nonpalpable Testis

- If the testis is non-palpable: examination under anaesthetic may reveal the previously non-palpable testis. The role of laparoscopy in the case of non-palpable cryptorchidism is both diagnostic and therapeutic. Laparoscopic orchiopexy for non-palpable testes is usually the preferred surgical approach among paediatric urologists. Removal, orchidolysis or orchidopexy can then be performed laparoscopically.

- Complications
Increased risk of testicular torsion. This may be associated with the development of a testicular tumour. Torsion of an intra-abdominal testis may present as an acute abdomen.

- Effect on fertility
Boys with one undescended testis have a lower fertility rate but the same paternity rate as boys with bilateral descended testes.
Boys with bilateral undescended testes have lower fertility and paternity rates.

- Risk of testicular malignancy
There is a three-fold increase in the incidence of testicular cancer in males with undescended testes.
There is a history of cryptorchidism in 5-10% of testicular cancers.
Prepubertal orchidopexy for cryptorchidism may be associated with a lower risk of testicular cancer.
Orchidopexy facilitates testicular self-examination.

- Cosmetic appearance
Surgical transfer of the testis into the scrotum produces a better cosmetic appearance.
Prostheses may be used if the testis is removed. Prostheses should be implanted during adolescence.
您需要登录后才可以回帖 登录 | 注册

本版积分规则

丁香叶与你快乐分享

微信公众号

管理员微信

服务时间:8:30-21:30

站长微信/QQ

← 微信/微信群

← QQ

Copyright © 2013-2024 丁香叶 Powered by dxye.com  手机版 
快速回复 返回列表 返回顶部