One-stage Fowler-Stephens orchidopexy for impalpable undescended testis

O’Brien, MF; Hegarty, P.; Healy, C. E.; DeFrietas, D; Hc, Bredin

doi:10.1007/bf02914517

Cited by 11 publications

(4 citation statements)

References 10 publications

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“…Evaluation of our results did show acceptable success rates (87.5%, 1 year) when compared with the results of other published studies [8,9]. Although in their original study, Dhannani et al [11] reported a meaningful success rate (98%) by performing a two stage FSO; we believe that our results with single stage procedure may be accepted as comparable with this study.…”

Section: Discussionsupporting

confidence: 83%

“…Of these techniques, single stage FSO was performed by dividing the spermatic vessels well above the testis and carefully preserving the collateral vasal arteries by leaving a strip of peritoneum attached to the vas when dissecting it into the pelvis [7]. This technique was applied with varying success rates [7][8][9]. Docimo analyzed all the publications containing undescended testes and did not find out significant difference between the success rates of one or two stage FSO [10].…”

Section: Discussionmentioning

confidence: 99%

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Single stage Fowler–Stephens orchidopexy: a preferred alternative in the treatment of nonpalpable testes

et al. 2006

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In this present study we aimed to discuss the surgical efficacy of single stage Fowler-Stephens orchidopexy (FSO) technique, with an emphasis on its practical and logical application that may be kept in mind during a standard orchidopexy procedure. Twenty-two children have undergone a single stage FSO procedure for nonpalpable testes during the last 9 years in our department. Surgical procedure was initiated with a standard inguinal oblique incision keeping in mind that depending on the position and the anatomic features of the testes a FSO method might be needed. While an excellent result was defined as a testis with good scrotal position, size and adequate blood flow on Doppler sonogram, acceptable result was a palpably normal sized testis in a high scrotal position with adequate blood supply and lastly an unacceptable result was the atrophy of the testis with compromised blood supply. During regular follow-up visits although some cases revealed testicular atrophy; long-term examination (12 months) did show that majority of the testes maintained their normal position and tissue consistency (21/24, 87.5%). Due to the necessity of surgical approach either in the evaluation or the treatment of nonpalpable testes in most cases along with the unsatisfactory data of the time consuming and invasive radiological procedures; we believe that a classical orchidopexy approach together with further single stage FSO will be a rational and satisfactory algorithm in the majority of such cases.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Single stage Fowler–Stephens orchidopexy: a preferred alternative in the treatment of nonpalpable testes

et al. 2006

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“…It involves division of the testicular vessels and relies on collateral deferential circulation. 6,15 Unfortunately, the dependence on collateral blood flow leaves the testes vulnerable to postoperative vasospasm or inadvertent injury to the vassal pedicle during dissection. However, this was felt to be more common when utilizing the open approach.…”

Section: Discussionmentioning

confidence: 99%

“…There have been cases utilizing alternative scrotal recipient vessels, including the deep circumflex iliac artery and pedal interpositional vein graft. 15 Earle et al also described the use of an omental pedicle flap in which the undescended testicle was marsupialized in a staged operation with the omentum. 17 The testicular autotransplantation procedure can be tedious and may take many hours of operative time.…”

Section: Discussionmentioning

confidence: 99%

Combined Laparoscopic and Microsurgical Techniques for Testicular Autotransplantation: Is this Still an Evolving Technique?

Kelley

Higuera

Cisek

et al. 2010

J reconstr Microsurg

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Testicular autotransplantation is an advanced technique for the correction of high intra-abdominal testicles with inadequate vascular length for repositioning in the scrotum. In the past, surgeons have often avoided this approach due to the extended operative time and the requirement for microsurgical equipment and training. Surprisingly, this procedure remains rare despite the fact that autotransplantation is sometimes the most viable option to relocate the testicle. Further, current advances in laparoscopic surgery allow for testicular harvesting with minimal morbidity and maximal vascular pedicle length. Here, the evolution and an approach combining these two techniques implemented successfully in five patients are presented.

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Difficulties in Pediatric Laparoscopic Urologic Surgery

Alexander

Farhat

2010

Difficult Conditions in Laparoscopic Urologic Surgery

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One-stage Fowler-Stephens orchidopexy for impalpable undescended testis

Abstract: Our results for the one-stage FSO are comparable with other procedures for the management of high maldescended testis.

Cited by 11 publications

References 10 publications

Single stage Fowler–Stephens orchidopexy: a preferred alternative in the treatment of nonpalpable testes

Single stage Fowler–Stephens orchidopexy: a preferred alternative in the treatment of nonpalpable testes

Combined Laparoscopic and Microsurgical Techniques for Testicular Autotransplantation: Is this Still an Evolving Technique?

Difficulties in Pediatric Laparoscopic Urologic Surgery

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