Two-stage orchiopexy with laparoscopic clip ligation of the spermatic vessels in prune-belly syndrome.
A 1-year-old boy with prune-belly syndrome underwent unilateral laparoscopic clip ligation of the spermatic vessels with the hope of developing vasal collateral circulation. Six months later, the patient underwent ipsilateral second-stage orchiopexy on the right testis after division if the ligated spermatic vessels and contralateral Fowler-Stephens orchiopexy on the left testis in combination with major urinary tract reconstructions and abdominoplasty. For the following 1-year period, both testes were growing and comparable in size.
Yu
T J
TJ
Department of Urology, Chang Gung Medical College, Kaohsiung, Taiwan.
Lai
M K
MK
Chen
W F
WF
Wan
Y L
YL
D003456:Cryptorchidism / Q000209:etiology / Q000601:surgery; D006801:Humans; D007223:Infant; D010535:Laparoscopy; D008026:Ligation; D008297:Male; D011535:Prune Belly Syndrome / Q000150:complications / Q000601:surgery*; D012611:Scrotum / Q000601:surgery*; D013737:Testis / Q000098:blood supply* / Q000000981:diagnostic imaging; D014463:Ultrasonography; D014572:Urology / Q000379:methods