Experience with the Fowler Stephens and microvascular procedures in the management of intraabdominal testes.
The Fowler Stephens operation and microvascular procedures were compared for the management of 23 intra-abdominal testes in 15 boys, 7 of whom had the prune belly syndrome. The Fowler Stephens operation was used for 15 testes (4 single-stage and 11 two-stage) and microvascular transfer was used for 8 testes. Eleven testes treated by the Fowler Stephens procedure (73%) and 7 treated by microvascular procedures (88%) were viable and intrascrotal after an average follow-up of 3.0 years, giving an overall success rate of 78%. Eight of 9 post-pubertal testes were biopsied. Severe maturational arrest was evident in all and carcinoma in situ was present in one.
Boddy
S A
SA
Departments of Paediatric Surgery, St James's University Hospital, Leeds.
Gordon
A C
AC
Thomas
D F
DF
Browning
F S
FS
D000005:Abdomen; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006063:Chorionic Gonadotropin; D003456:Cryptorchidism / Q000601:surgery*; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods; D011535:Prune Belly Syndrome / Q000150:complications; D012189:Retrospective Studies; D013737:Testis / Q000098:blood supply / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods
D006063:Chorionic Gonadotropin