One-stage Fowler-Stephens orchidopexy for impalpable undescended testis

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 collatera...

Full description

Saved in:
Bibliographic Details
Published in:Irish journal of medical science 2004-01, Vol.173 (1), p.18-19
Main Authors: O'Brien, M F, Hegarty, P K, Healy, C, DeFrietas, D, Bredin, H C
Format: Article
Language:English
Subjects:
Adolescent
Child
Child, Preschool
Collateral Circulation
Cryptorchidism - surgery
Humans
Male
Testis - blood supply
Treatment Outcome
Vas Deferens - surgery
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary: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. To assess the long-term outcome of patients who underwent this procedure in our institution. 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. 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%). Our results for the one-stage FSO are comparable with other procedures for the management of high maldescended testis.
ISSN:0021-1265
1863-4362
DOI:10.1007/BF02914517