Search

Resume Les testicules impalpables representent environ 10 a 20 % de l’ensemble des testicules non descendus. La place de la laparoscopie est de plus en plus importante, car a son role diagnostique s’est ajoute recemment un interet therapeutique. Trente-cinq testicules non palpables ont beneficie d’une exploration laparoscopique aux urgences chirurgicales pediatriques de l’hopital d’enfants de Rabat au cours de ces 2 dernieres annees. Dans 9 cas, il s’agit d’une agenesie testiculaire. Dans 6 cas, le testicule a ete haut situe et un premier temps laparoscopique d’abaissement a ete realise. Dans 10 cas, un abaissement en un seul temps a ete effectue. Dans 10 cas, la laparoscopie a montre le canal deferent et les vaisseaux spermatiques qui convergent vers le canal inguinal, une exploration inguinale a ete alors effectuee. La duree d’hospitalisation a ete de 24 heures, on n’a pas note de complications. Nous presentons ce travail pour sensibiliser les chirurgiens sur la nouvelle approche therapeutique afin d’optimiser la prise en charge des enfants cryptorchides.

The impalpable testicles account for approximately 10 to 20% of the total of the not descended testicles. The importance of laparoscopy is increasingly significant, because apart from its diagnostic role recently a therapeutic interest was added. Thirty-five nonpalpable testicles took advantage of laparoscopic exploration at the pediatric's emergency surgery ward at the children's hospital of Rabat within the last 2 years. In 9 cases, total testicular agenesis was found. In 6 cases the testicles were situated very high in the abdomen, so that a first time laparoscopy was performed where the testicles were lowered. In 10 cases, one laparoscopic intervention for lowering the testicles was sufficient. In 10 cases, laparoscopic surgery showed that the vas deferens and the spermatic vessels reunified in the inguinal; so that, Inguinal exploration was necessary. The time of hospitalisation was 24 h with no complications noticed. We present this work to sensitise the surgeons on the new therapeutic approach to optimise the taking care of cryptorchid boys.