Videoscopic total extraperitoneal approach to an adult patient with undescended testicle accompanied by a contra-lateral inguinal hernia.

A 22 year-old male patient was admitted to our clinic with complaints of swelling and pain at the left groin area as well as inability to palpate his right testicle. The patient was diagnosed as right undescended testicle accompanied by left indirect inguinal hernia. According to the scrotal Doppler ultrasonography the right undescended testicle was localized in the inguinal canal very close to the inner ring. As totally extra peritoneal (TEP) approach is widely used for inguinal hernia repair by hernia surgeons, the same technique was planned for both inguinal hernia repair and orchiectomy simultaneously. Using videoscopic TEP approach, left inguinal hernia repair and right prophylactic inguinal hernia repair with polypropylene mesh was carried out following successful laparoscopic right orchiectomy. In patients with undescended testicle who are indicated for orchiectomy and accompanied by inguinal hernia, videoscopic TEP operation is a safe procedure, also providing the oppurtunity for prophylactic hernia repair at the orchiectomy site.