[Section of spermatic vessels (Fowler-Stephens procedure). A possible treatment for high undescended testis]

Although orchidopexy for an undescended testis is generally a satisfactory operation, high undescended testis is often a problem. Management of such testicles remains controversial and since 1984 the authors have used spermatic vessels division (Fowler Stephens procedure) in 29 cases with satisfactory results. Although the Fowler-Stephens procedure carries a certain risk of testicular atrophy, the results are equivalent to those achieved by the two stage orchidopexy if careful attention is paid to details of the procedure and selection of cases.