Testicular autotransplantation for the intra-abdominal testis.
Oftentimes patients with intra-abdominal testes require more than the standard procedure to accomplish orchiopexy. Division of the spermatic vessels has been one mainstay of operative approaches for the intra-abdominal testis since Fowler and Stephens (Congenital Malformations of Rectum, Anus, and Genitouriary Tracts, chapter 19, pp 306-320, 1963) provided an anatomically rational basis for this procedure. Silber and Kelly (J Urol, 115:452-454, 1976) first described using a microvascular anastomosis to bring extra blood supply to the testicle after mobilization of a high intra-abdominal testicle into the scrotum; however, this approach has not been adopted by many for a number of reasons. The microvascular skill and instrumentation required for a successful anastomosis are not universally available and there is a misconception that the procedure is a lengthy one (Bianchi, Br J Urol 56:521-524, 1984; Bogaert et al., Urology 42:182-188, 1993). We present our series for testicular autotransplantation used over a 17 year period with a greater than 95% success.
Bukowski
T P
TP
Division of Pediatric Urology, University of Cincinnati, OH, USA.
Wacksman
J
J
Billmire
D A
DA
Sheldon
C A
CA
D000005:Abdomen; D000714:Anastomosis, Surgical; D002648:Child; D003456:Cryptorchidism / Q000601:surgery*; D006801:Humans; D008297:Male; D008866:Microsurgery; D012611:Scrotum / Q000601:surgery; D013737:Testis / Q000002:abnormalities* / Q000637:transplantation*; D014182:Transplantation, Autologous; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures