title: Initial success with gubernacular-sparing laparoscopic-assisted Fowler-Stephens orchidopexy for intra-abdominal testes.
abstract: A single surgeon's 5-year experience of preserving the gubernaculum in laparoscopic-assisted Fowler-Stephens orchidopexy is reported. Thirty-six cases of impalpable testes are considered. Sixteen patients were confirmed as having intra-abdominal testes, with 20 testes considered to be absent/vanished. At follow-up, all testes had a similar volume to the contralateral testis except for one that had been considered hypoplastic at the initial operation. Mean follow-up was 612 days. The method and potential importance of gubernacular preservation in this situation are discussed.
authors.affiliation: Department of Paediatric Surgery, Royal Alexandra Children's Hospital, Brighton, United Kingdom. anies.mahomed@bsuh.nhs.uk
authors.forename: Anies
authors.initials: A
authors.lastname: Mahomed
authors.forename: Stephen
authors.initials: S
authors.lastname: Adams
authors.forename: Saidul
authors.initials: S
authors.lastname: Islam
mesh_terms: D002648:Child; D002675:Child, Preschool; D003456:Cryptorchidism / Q000601:surgery*; D006801:Humans; D007223:Infant; D010535:Laparoscopy; D008297:Male; D056126:Orchiopexy / Q000379:methods*; D013737:Testis / Q000601:surgery*