Abstract:

Undescended testis or cryptorchidism remains a common condition. It affects 1% of individuals and is treated by pediatric surgeons, urologists, and general surgeons depending on the age of the patient, specialist services, and expertise available. Laparoscopy has been used for the localization of impalpable testis for more than 15 years. However, minimal access surgery has now made its impact in this field of surgery in terms of surgical intervention. It is used not only for the localization of undescended testis but also to perform laparoscopic orchidectomy and both stages of the Foweler-Stevens orchiopexy. Minimal access surgery is also used for the ligation of the testicular vein for varicocele. The clinical anatomy of the undescended testis and varicocele is interrelated and therefore is dealt with in the same chapter, although there is no association between the two clinical conditions.

Authors:

Raghu S. Savalgi, M.B.B.S., L.R.C.P., M.R.C.S., F.R.C.S., Ph.D.(Surg.), Yale University School of Medicine, New Haven, CT

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