Impalpable Testis

  • Mohan S. Gundeti
  • Duncan T. Wilcox


Undescended testis is a common congenital anomaly occurring in approximately 1% of male infants. In approximately 20% of patients with an undescended testicle, the testis is not palpable.1 The management of a child with a palpable testis is not controversial, but management of an infant with an impalpable testis can generate considerable clinical debate. Despite improvements in cross-sectional imaging, the most accurate evaluation of the undescended testicle is by a diagnostic laparoscopy.2 Since the laparoscopic orchidopexy was first described by Jordan in 1992, a therapeutic procedure can be performed at the same anesthetic.3


Internal Ring Diagnostic Laparoscopy Undescended Testicle Port Placement Common Congenital Anomaly 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Baker LA, Docimo SG, Surer I et al. A multiinstitutional analysis of laparoscopic orchidopexy. Br J Urol Int 2001;87(6):484–489.Google Scholar
  2. 2.
    Docimo S, Peters C. Paediatric Endourology and laparoscopy. In: Kavoussi Walsh P, Reitk A, Vaughan E. et al., (eds.), Campbell’s Urology, 8th ed, pp 2265–2592.Google Scholar
  3. 3.
    Jordan GH, Winslow BH. Laparoscopic single stage and staged orchiopexy. J Urol 1994;152(4):1249–1252.PubMedGoogle Scholar
  4. 4.
    Kaefer M, Diamond D, Hendren WH et al. The incidence of intersexuality in children with cryptorchidism and hypospadias: stratification based on gonadal palpability and meatal position. J Urol 1999;162(3 Pt 2):1003–1006; discussion 1006–1007.PubMedCrossRefGoogle Scholar
  5. 5.
    Cisek LJ, Peters CA, Atala A Current findings in diagnostic laparoscopic evaluation of the nonpalpable testis. J Urol 1998;160:1145–1149;discussion 1150.PubMedCrossRefGoogle Scholar
  6. 6.
    Lindgren BW, Franco I, Blick S, Levitt SB, Laparoscopic Fowler Stephens orchidopexy for the high abdominal testis. J Urol 1999;62:990–994.Google Scholar

Copyright information

© Springer-Verlag London Limited 2007

Authors and Affiliations

  • Mohan S. Gundeti
    • 1
  • Duncan T. Wilcox
    • 2
  1. 1.Department of Paediatric UrologyGreat Ormond Street Hospital for Children NHS TrustLondonUK
  2. 2.Division of Pediatric UrologyChildren’s Medical CenterDallasUSA

Personalised recommendations