Microvascular autotransplantation of intra-abdominal testes.
In the period between 1981 and 1987, 23 microvascular autotransplantations of intra-abdominal testes were performed on 18 patients at the Royal Manchester Children's Hospital. Nineteen testes [82.6%] were successfully revascularised; however, four [17.4%] became partially or totally atrophic. Early surgery is recommended--well before the age of 2 years, prior to the onset of testicular damage, in order to reduce the risk of infertility. Although the early results are very encouraging, only long-term, postpuberty follow-up regarding both fertility and malignancy can determine the value of testicular autotransplantation.
Frey
P
P
Department of Paediatric Surgery, St. Mary's Hospital, Manchester, United Kingdom.
Bianchi
A
A
D000005:Abdomen; D000293:Adolescent; D001808:Blood Vessels / Q000637:transplantation*; D002648:Child; D002675:Child, Preschool; D003456:Cryptorchidism / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008833:Microcirculation / Q000601:surgery; D013737:Testis / Q000098:blood supply*; D013997:Time Factors; D014182:Transplantation, Autologous