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Laparoscopic orchidopexy

Department : Laparoscopic Urology

Both the testis should have descended into scrotum from inside the abdomen before the child is born. Sometimes, however this descend is arrested. The undescended testis can be within the abdomen or outside. If it is inside the abdomen, Laparoscopy is far superior to any other method in bringing the testis down. The procedure is done preferably at about 1 year of age.

By key hole surgery, not only can the testis be located precisely, (this is not accurately possible even by the most advanced scans) it can also be brought down into the scrotum by 4 small key holes. The child will be almost painfree on the day after surgery, and can go home usually by the 2nd post operative day.

This is thus a far superior technique when compared to open surgery, were a large wound on the abdomen is required for achieving the same thing. Besides during laparoscopy, there is a 10 to 15 times magnification of all the delicate structures, making laparoscopy more precise and hence more successful than open technique.

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