Abstract
Background The Fowler-Stephens orchidopexy (FSO) is a well-described treatment for high maldescended testes where the limiting factor for successful placement in the scrotum is short testicular vessels. The operation involves division of these vessels. The testicular blood supply is then dependent on collaterals from the vasal artery.
Aims To assess the long-term outcome of patients who underwent this procedure in our institution.
Methods The medical records of 20 patients who underwent 22 FSO from 1978 to 1999 by one urologist (HB) were reviewed. Outcome was assessed in terms of testicular position and size.
Results Age at operation ranged from 2 to 14 years (mean 5.8 years). All patients had a one-stage FSO and in two of them the procedure was bilateral. In five patients, FSO was preceded by a diagnostic laparoscopy. Mean follow up was 22 months (range 0–121 months). Overall, results were considered good in 18 of 22 testes (82%).
Conclusion Our results for the one-stage FSO are comparable with other procedures for the management of high maldescended testis.
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References
McKiernan MV, Murphy PD, Johnston JG. Ten year review of treatment of the undescended testis in the west of Ireland.Br J Urol 1992; 70: 84–9.
Kirsch AJ, Escala J, Duckett JW et al. Surgical management of the nonpalpable testis: the Children’s Hospital of Philadelphia experience.J Urol 1998; 159: 1340–3.
Bevan AD. Operation for undescended testicle and congenital inguinal hernia.JAMA 1899; 33: 773–5.
Bevan AD. The surgical treatment of undescended testis: a further contribution.JAMA 1903; 41: 718–23.
Fowler R, Stephens FD. The role of testicular vascular anatomy in the salvage of high undescended testis.Aust New Zeal J Surg 1959; 29: 92–106.
Ransley PG, Vordermark JS, Caldamone AA, Bellinger MF. Preliminary ligation of the gonadal vessels prior to orchidopexy for the intra-abdominal testicle: a staged Fowler-Stephens procedure.World J Urol 1984; 2: 266–8.
Bloom DA. Two-step orchidopexy with pelviscopic ligation of the spermatic vessels.J Urol 1991; 145: 1030–3.
Lindgren BW, Franco I, Blick S et al. Laparoscopic Fowler-Stephens orchidopexy for the high abdominal testis.J Urol 1999; 162: 990–4.
Bukowski TP, Wacksman J, Billmire DA et al. Testicular autotransplantation: a 17-year review of an effective approach to the management of the intra-abdominal testis.J Urol 1995; 154: 558–61.
Docimo SG. The results of surgical therapy for cryptorchidism: a literature review with analysis.J Urol 1995; 154: 1148–52.
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O’Brien, M., Hegarty, P., Healy, C. et al. One-stage Fowler-Stephens orchidopexy for impalpable undescended testis. Ir J Med Sci 173, 18–19 (2004). https://doi.org/10.1007/BF02914517
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DOI: https://doi.org/10.1007/BF02914517