CLINICAL AND HISTOLOGICAL SIGNIFICANCE OF THE TESTICULAR REMNANT FOUND ON INGUINAL EXPLORATION AFTER DIAGNOSTIC LAPAROSCOPY IN THE ABSENCE OF A PATENT PROCESSUS VAGINALIS

No AccessJournal of UrologyGenitalia1 Oct 2005CLINICAL AND HISTOLOGICAL SIGNIFICANCE OF THE TESTICULAR REMNANT FOUND ON INGUINAL EXPLORATION AFTER DIAGNOSTIC LAPAROSCOPY IN THE ABSENCE OF A PATENT PROCESSUS VAGINALIS JOSEPH F. RENZULLI, RASHMI SHETTY, SHAMLAL MANGRAY, KEVIN R. ANDERSON, ROBERT M. WEISS, and ANTHONY A. CALDAMONE JOSEPH F. RENZULLIJOSEPH F. RENZULLI More articles by this author , RASHMI SHETTYRASHMI SHETTY More articles by this author , SHAMLAL MANGRAYSHAMLAL MANGRAY More articles by this author , KEVIN R. ANDERSONKEVIN R. ANDERSON More articles by this author , ROBERT M. WEISSROBERT M. WEISS More articles by this author , and ANTHONY A. CALDAMONEANTHONY A. CALDAMONE More articles by this author View All Author Informationhttps://doi.org/10.1097/01.ju.0000179541.92934.17AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We reviewed the histological findings of cord structures excised at inguinal exploration after diagnostic laparoscopy in patients with a nonpalpable testis with the vas deferens and spermatic vessels exiting the internal inguinal ring in the absence of a patent processus vaginalis. Materials and Methods: A retrospective review of 809 laparoscopic explorations for nonpalpable testes between 1981 and 2003 was conducted. The histological findings of the excised remnants of those patients with a closed processus vaginalis were reviewed. Results: A total of 110 patients underwent excision of a testicular remnant at inguinal exploration in association with a closed processus vaginalis. Of the specimens 31 (28%) were on the right side and 79 (72%) were on the left side. The incidence of viable germ cell elements was 8 of 110 (7%). The presence of hemosiderin, calcification and fibrosis was identified in all 8 remnants with viable germ cell elements. Conclusions: The incidence of viable germ cell elements in the excised remnant when the vas deferens and spermatic vessels are identified exiting a closed internal ring in patients with a nonpalpable testis is 7%. To our knowledge no prior study has evaluated the incidence of viable germ cell elements in remnants associated with a closed internal inguinal ring. Based on these findings, we advocate inguinal exploration and excision of testicular remnants in these patients. References 1 : Diagnosis of bilateral abdominal cryptorchidism by laparoscopy. Endoscopy1976; 8: 33. Google Scholar 2 : Laparoscopic evaluation of the nonpalpable testes. Urology1991; 5: 460. 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Link, Google Scholar From Yale University School of Medicine (JFR, KRA, RMW), New Haven, Connecticut, and Brown Medical School, Providence, Rhode Island (RS, SM, AAC)© 2005 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited ByShepard C and Kraft K (2018) The Nonpalpable Testis: A Narrative ReviewJournal of Urology, VOL. 198, NO. 6, (1410-1417), Online publication date: 1-Dec-2017.Wood H and Elder J (2018) Cryptorchidism and Testicular Cancer: Separating Fact From FictionJournal of Urology, VOL. 181, NO. 2, (452-461), Online publication date: 1-Feb-2009.Snodgrass W, Yucel S and Ziada A (2007) Scrotal Exploration for Unilateral Nonpalpable TestisJournal of Urology, VOL. 178, NO. 4S, (1718-1721), Online publication date: 1-Oct-2007. Volume 174Issue 4 Part 2October 2005Page: 1584-1586 Advertisement Copyright & Permissions© 2005 by American Urological Association, Inc.KeywordslaparoscopycryptorchidismtestisMetricsAuthor Information JOSEPH F. RENZULLI More articles by this author RASHMI SHETTY More articles by this author SHAMLAL MANGRAY More articles by this author KEVIN R. ANDERSON More articles by this author ROBERT M. WEISS More articles by this author ANTHONY A. CALDAMONE More articles by this author Expand All Advertisement PDF DownloadLoading ...