Testicular autotransplantation: a 17-year review of an effective approach to the management of the intra-abdominal testis.
OBJECTIVE
Patients with intra-abdominal testes represent a small but challenging group who require innovative therapy. We report our 17-year experience with testicular autotransplantation.


METHODS
Testicular autotransplantation was performed in 23 patients with 27 intra-abdominal testes.


RESULTS
The success rate was 96% and average operative time was 4.25 hours with 40 to 90 minutes for vascular anastomoses. A contralateral Fowler-Stephens procedure had previously failed in 3 cases.


CONCLUSIONS
Since the variability of collateral blood supply in patients with high undescended testes may potentially compromise the Fowler-Stephens procedure, we believe that testicular autotransplantation should be strongly considered in such patients, particularly those with bilateral undescended testicles.
Bukowski
T P
TP
Division of Pediatric Urology, Children's Hospital Medical Center, University of Cincinnati, Ohio, USA.
Wacksman
J
J
Billmire
D A
DA
Lewis
A G
AG
Sheldon
C A
CA
D000293:Adolescent; D000328:Adult; D000465:Algorithms; D002648:Child; D002675:Child, Preschool; D003456:Cryptorchidism / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D013737:Testis / Q000637:transplantation*