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One-stage Fowler-Stephens orchidopexy for impalpable undescended testis
M F O'Brien1, P K Hegarty, C Healy
1Department of Urology, University College Hospital, Galway, Ireland.
Irish Journal of Medical Science
|March 1, 2005
Summary
The Fowler-Stephens orchidopexy (FSO) is an effective treatment for high undescended testes, achieving good outcomes in 82% of cases. This procedure is comparable to other surgical options for managing this condition.
Area of Science:
- Pediatric Surgery
- Urology
Background:
- The Fowler-Stephens orchidopexy (FSO) addresses high undescended testes with short testicular vessels.
- This surgical technique involves dividing testicular vessels, relying on collateral circulation from the vasal artery.
Purpose of the Study:
- To evaluate the long-term outcomes of patients who underwent Fowler-Stephens orchidopexy (FSO) at our institution.
Main Methods:
- A retrospective review of medical records for 20 patients who underwent 22 FSO procedures between 1978 and 1999.
- Outcomes were assessed based on testicular position and size post-surgery.
Main Results:
- The study included patients aged 2 to 14 years (mean 5.8 years).
- A one-stage FSO was performed in all cases, with two bilateral procedures.
- Mean follow-up was 22 months, with 82% (18 of 22 testes) showing good outcomes.
Conclusions:
- The one-stage Fowler-Stephens orchidopexy (FSO) demonstrates favorable results.
- These outcomes are comparable to alternative surgical management strategies for high undescended testes.