Laparoscopic Stephen-Fowler Stage Procedure: Appropriate Management for High Intra-Abdominal Testes

Agrawal, Amit; Joshi, Medha; Mishra, Pankaj; Gupta, Rahul; Sanghvi, Beejal; Parelkar, Sandesh

doi:10.1089/lap.2009.0111

Cited by 11 publications

(15 citation statements)

References 9 publications

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“…For the treatment of high IAT, laparoscopic staged F-S surgery exhibits its own special features. Specifically, after the spermatic cord blood vessels are transected, there is a long time to wait for the testicular collateral circulation (15). During the surgery, we realized that the testicular ischemia test is of great importance.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of Two Types of Staged Laparoscopic Orchiopexy for High Intra-Abdominal Testes in Children: A Retrospective Study From a Single Center

et al. 2021

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Background: To evaluate the efficacy and safety of 2nd-stage laparoscopic traction orchiopexy (Shehata technique) compared to Fowler-Stephens (F-S technique) for high intra-abdominal testes (IATs) in children.Patients and Methods: We performed a retrospective review of all children (<14 years old) who underwent laparoscopic treatment of high IAT in the pediatric surgery center of Yijishan Hospital of Wannan Medical College from April 2016 to April 2020. Participants were divided into the Fowler-Stephens (F-S) group and Shehata group according to the surgical method. We collected the medical records of all children and analyzed them statistically.Results: In this study, 43 patients in our center received 2nd-stage laparoscopic surgical treatment. The results showed that there were 23 high IATs in 22 patients in the F-S group and 22 IATs in 21 patients in the Shehata group. All patients completed the operation successfully. No significant difference in operation time was noted between the two groups. There was no significant difference in the testicular atrophy rate between the two groups (P = 0.323). The testicular retraction rate of the F-S group was greater than that of the Shehata group (P = 0.04).Conclusion:The results of this study indicate that the application of assisted laparoscopic testicular traction technology can effectively retain the main blood supply of the testis and vas deferens with a high survival rate and clear advantages. The preliminary results show that the Shehata technique is safe, reliable and effective in the treatment of high IAT in children.

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Section: Discussionmentioning

confidence: 99%

“…In the F-S group, the operation procedures were performed according to the articles published by Agrawal et al (15). In short, after entering the abdominal cavity, the lens was used to observe the location of the testis and its development, etc.…”

Section: Surgical Methodsmentioning

confidence: 99%

Comparison of Two Types of Staged Laparoscopic Orchiopexy for High Intra-Abdominal Testes in Children: A Retrospective Study From a Single Center

et al. 2021

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“…In the series of Agarwal A et al 25 which carries out staged Flower-Stephen procedure, where both the stages were carried out by laparoscopy. The results were almost 100%.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic and Therapeutic Management of Impalpable Testis in the Era of Laparoscopy

Shaikh¹

2010

WJOLS

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“…In 1976, a laparoscopic procedure was initiated for the diagnosis of impalpable, undescended testis; this has now become the gold standard as a diagnostic and therapeutic procedure [4]. One of the most commonly used laparoscopic procedures for high intra-abdominal testes is the staged Stephen-Fowler orchiopexy which has had a success rate reaching up to 100%, as reported by Agrawal et al [5]…”

Section: Introductionmentioning

confidence: 99%

Gubernaculum Sparing Laparoscopic Orchiopexy in Cryptorchidism with Ipsilateral Congenital Absence of the Vas Deferens: Unique Outcome

Althobaiti

Badr

Aloqalaa

et al. 2019

Case Reports in Urology

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Congenital absence of the vas deferens (CAVD) is an uncommon anomaly that occurs in up to 1% of the male population. It can be associated with various other anomalies, including cryptorchidism and renal anomalies, such as renal agenesis. We here present a case of cryptorchidism with ipsilateral congenital absence of the vas deferens and renal agenesis and used the Stephen-Fowler technique for Orchiopexy depending on gubernacular vessels. A 7-month-old boy was referred to our center with left grade 2 hydronephrosis, right renal agenesis, and right impalpable, undescended testis. Examination under anesthesia and laparoscopic exploration with staged Stephen-Fowler orchiopexy were performed. The patient was followed up at 3, 6, and 12 months and had an excellent outcome. Cryptorchidism with congenital ipsilateral absence of the vas deferens and renal agenesis is a rare diagnostic entity. Our case supports the suggested theory that the gubernacular vessels can increase the blood supply to the testis, although further studies are needed to confirm this hypothesis.

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Laparoscopic Stephen-Fowler Stage Procedure: Appropriate Management for High Intra-Abdominal Testes

Abstract: In cases of high intra-abdominal testes, the staged Fowler-Stephen procedure should be the procedure of choice. This procedure yields a high success rate. Transaction of vessels by bipolar diathermy is a very safe, cost-effective method.

Cited by 11 publications

References 9 publications

Comparison of Two Types of Staged Laparoscopic Orchiopexy for High Intra-Abdominal Testes in Children: A Retrospective Study From a Single Center

Comparison of Two Types of Staged Laparoscopic Orchiopexy for High Intra-Abdominal Testes in Children: A Retrospective Study From a Single Center

Diagnostic and Therapeutic Management of Impalpable Testis in the Era of Laparoscopy

Gubernaculum Sparing Laparoscopic Orchiopexy in Cryptorchidism with Ipsilateral Congenital Absence of the Vas Deferens: Unique Outcome

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