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Updated: May 29, 2026
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Published on: May 10, 2022
Initial success with gubernacular-sparing laparoscopic-assisted Fowler-Stephens orchidopexy for intra-abdominal
Anies Mahomed1, Stephen Adams, Saidul Islam
1Department of Paediatric Surgery, Royal Alexandra Children's Hospital, Brighton, United Kingdom. anies.mahomed@bsuh.nhs.uk
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.
