Impact of primary surgical approach in the management of the impalpable testis

F. Ferro, A. Lais, P. Bagolan, M. Talamo, S. Caterino

Research output: Contribution to journalArticlepeer-review


There is no univoque opinion about the place of preoperative studies in nonpalpable testes. During a 6.5-year period, we operated on 296 impalpable testes in prepubertal boys. A combined inguinal-abdominal approach was used in all cases verifying the eventual abdominal testis and its exact vascular anatomy before any manipulation of the cord was undertaken. Forty-five testes (15.2%) were canalicular, 142 (48%) were abdominal, 5 (1.7%) dysgenetic and 104 (34.1%) absent (agenesis or vanishing testis). Of the abdominal testes, 122 underwent a standard orchidopexy in dartos pouch, 11 a staged repair, 8 a Fowler-Stephens operation and 1 orchiectomy. All means of investigation for impalpable testes are either unreliable, too expensive or too invasive for routine use, and in most cases, a surgical exploration has to be performed anyway. The primary surgical approach has the most favorable cost/benefit ratio, being diagnostic and therapeutic at one time. Provided the exploration is performed correctly, all the advantages of previous laparoscopy can be achieved with surgery alone.

Original languageEnglish
Pages (from-to)142-146
Number of pages5
JournalEuropean Urology
Issue number2
Publication statusPublished - 1992


  • Abdominal testis
  • Cryptorchidism
  • Orchidopexy
  • Testicular agenesis
  • Testicular atrophy

ASJC Scopus subject areas

  • Urology


Dive into the research topics of 'Impact of primary surgical approach in the management of the impalpable testis'. Together they form a unique fingerprint.

Cite this