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.
journal_name
Ir J Med Scijournal_title
Irish journal of medical scienceauthors
O'Brien MF,Hegarty PK,Healy C,DeFrietas D,Bredin HCdoi
10.1007/BF02914517keywords:
subject
Has Abstractpub_date
2004-01-01 00:00:00pages
18-9issue
1eissn
0021-1265issn
1863-4362journal_volume
173pub_type
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