ESPU Congress 2018 - Abstract Book

30 29 th CONGRESS OF THE ESPU CONCLUSIONS Bilateral NPT presenting with TTE is rare. Due to the frequent anomalies of deferens we propose that bilateral FSP with a whole descent of the gonads though the same canal might minimize the risk of testicular vascularization and vas deferens injury offering a better outcome. Longer follow up for hormonal and spermatogenesis should be assess in the future. 14:28–14:30 S2-10 (CP) SPLENO-GONADAL FUSION - RARE CONGENITAL ANOMALY, WHICH CAN BE DIAGNOSED AND TREATED BY LAPAROSCOPY Piotr GASTOL, Kinga KOWALCZYK, Lidia SKOBEJKO-WLODARSKA and Margaret BAKA-OSTROWSKA The Children's Memorial Health Institute, Peadiatric Urology, Warsaw, POLAND PURPOSE Spleno-gonadal fusion is a very rare congenital anomaly resulting from abnormal adherence between spleen and testis. This fusion can be continuous or discontinuous. It frequently associ- ated with orophasial and/or limb abnormalities. The diagnosis is almost made as an accidental finding during orchidectomy for presumed testicular tumor or during orchidopexy or hernioplasty. We present our experiece with two cases. MATERIAL AND METHODS Two boys, age 7 and 6 years, with an undescendend left testis since birth. They also suffered from deficit of weight, high and some kind of limbs malformation. First, when he was 2 years old, he un- derwent exploration of the left inguinal canal and retroperitoneal space with biopsy of the testis fused with brown-reddish tissue in local hospital. Histopatological examination revealed spleno-gonadal fusion. In the second case, USG showed mass with structure of spleen in left retroperitoneal space. They were admitted to our department for surgical evaluation and treatment. RESULTS During laparoscopy, in both cases, we found hypoplastic, retained testis in the retroperitoneal space, adhered with splenic continuous cord. Orchidectomy was performed. Histopatological examination revealed spleno-gonadal fusion and hypoplastic testis without spermatogenesis. CONCLUSIONS 1. Spleno-gonadal fusion is a rare congenital anomaly, which is seldom diagnosed or suspected preoperatively. 2. Spleno-gonadal fusion must always be remembered in the differential diagnosis of a non-palpable testis. 3. Laparoscopy is good method in evaluation and treatment boys with abdominal cryptorchidism. 14:30–14:40 Discussion