title: Laparoscopic single-stage Fowler-Stephens orchidopexy in a case of orchidogastric fusion.
abstract: This report describes laparoscopic Fowler-Stephens orchidopexy for cryptorchidism resulting from orchidogastric fusion in an infant born with gastroschisis. At 11 months of age, the left testicle remained impalpable, and diagnostic laparoscopy was performed. Intraoperatively, a normal-appearing testicle was found attached to the stomach. The testicle was dissected, mobilized down to the left inguinal ring, exteriorized through a transscrotal trocar, and subsequently fixated in the lower left scrotum. On follow-up 5 months later, both testicles were normal in size and location. Single-stage laparoscopic Fowler-Stephens orchidopexy is easily accomplished in cases of orchidogastric fusion resulting from a long vas deferens.
authors.affiliation: Division of Pediatric Surgery, Children's Hospital of Alabama, University of Alabama at Birmingham, Birmingham, Alabama, USA. oliver.muensterer@att.net
authors.forename: Oliver J
authors.initials: OJ
authors.lastname: Muensterer
mesh_terms: D003456:Cryptorchidism / Q000150:complications / Q000473:pathology / Q000601:surgery*; D020139:Gastroschisis / Q000150:complications / Q000601:surgery; D006801:Humans; D007223:Infant; D010535:Laparoscopy; D008297:Male; D056126:Orchiopexy / Q000379:methods*; D013270:Stomach / Q000002:abnormalities*; D013737:Testis / Q000002:abnormalities*