title: One-stage Fowler-Stephens orchidopexy for impalpable undescended testis.
abstract: BACKGROUND
  The Fowler-Stephens orchidopexy (FSO) is a well-described treatment for high maldescended testes where the limiting factor for successful placement in the scrotum is short testicular vessels. The operation involves division of these vessels. The testicular blood supply is then dependent on collaterals from the vasal artery.
  
  
  OBJECTIVE
  To assess the long-term outcome of patients who underwent this procedure in our institution.
  
  
  METHODS
  The medical records of 20 patients who underwent 22 FSO from 1978 to 1999 by one urologist (HB) were reviewed. Outcome was assessed in terms of testicular position and size.
  
  
  RESULTS
  Age at operation ranged from 2 to 14 years (mean 5.8 years). All patients had a one-stage FSO and in two of them the procedure was bilateral. In five patients, FSO was preceded by a diagnostic laparoscopy. Mean follow up was 22 months (range 0-121 months). Overall, results were considered good in 18 of 22 testes (82%).
  
  
  CONCLUSIONS
  Our results for the one-stage FSO are comparable with other procedures for the management of high maldescended testis.
authors.affiliation: Department of Urology, University College Hospital, Galway, Ireland.
authors.forename: M F
authors.initials: MF
authors.lastname: O'Brien
authors.forename: P K
authors.initials: PK
authors.lastname: Hegarty
authors.forename: C
authors.initials: C
authors.lastname: Healy
authors.forename: D
authors.initials: D
authors.lastname: DeFrietas
authors.forename: H C
authors.initials: HC
authors.lastname: Bredin
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003097:Collateral Circulation; D003456:Cryptorchidism / Q000601:surgery*; D006801:Humans; D008297:Male; D013737:Testis / Q000098:blood supply*; D016896:Treatment Outcome; D014649:Vas Deferens / Q000601:surgery
references.citation: J Urol. 1999 Sep;162(3 Pt 2):990-3; discussion 994
references.pmid: 10458418
references.citation: Aust N Z J Surg. 1959 Aug;29:92-106
references.pmid: 13849840
references.citation: J Urol. 1991 May;145(5):1030-3
references.pmid: 1673160
references.citation: J Urol. 1995 Aug;154(2 Pt 1):558-61
references.pmid: 7609136
references.citation: Br J Urol. 1992 Jul;70(1):84-9
references.pmid: 1353396
references.citation: J Urol. 1995 Sep;154(3):1148-52
references.pmid: 7637073
references.citation: J Urol. 1998 Apr;159(4):1340-3
references.pmid: 9507881