PMID: 15732230Mar 1, 2005Paper

One-stage Fowler-Stephens orchidopexy for impalpable undescended testis

Irish Journal of Medical Science
M F O'BrienH C Bredin

Abstract

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.

References

Jul 1, 1992·British Journal of Urology·M V McKiernanJ G Johnston
Aug 24, 1999·The Journal of Urology·B W LindgrenE F Reda
Aug 1, 1959·The Australian and New Zealand Journal of Surgery·R FOWLER, F D STEPHENS

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Citations

May 6, 2006·World Journal of Urology·Irina Taran, Jack S Elder
Aug 10, 2006·Pediatric Surgery International·Kaya HorasanliEyup Gumus
Jul 26, 2017·The Cochrane Database of Systematic Reviews·Haroon RehmanPatricia Aluko
Apr 17, 2008·Nature Clinical Practice. Urology·Ciro EspositoAlaa El-Ghoneimi
Jan 29, 2020·The Cochrane Database of Systematic Reviews·Lucky SaraswatCathryn Ma Glazener

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