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Updated: May 25, 2026
09:51
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Published on: September 7, 2022
[Stephens-Fowler in two times: results 14 years later]
R Ruiz Pruneda1, M J Aranda García, J M Sánchez Morote
1Servicio de Cirugía Pediátrica, Hospital Universitario Virgen de la Arrixaca, Murcia. ramonruizpruneda@hotmail.com
Summary
Laparoscopic management of intra-abdominal testes, particularly the two-stage Fowler-Stephens orchiopexy (FSO), offers a high success rate for undescended testes. This technique is recommended for its effectiveness in improving testicular position and size.
Area of Science:
- Pediatric Surgery
- Urology
- Minimally Invasive Surgery
Context:
- Intra-abdominal testes present management challenges, necessitating diverse assessment and treatment strategies.
- Laparoscopy has emerged as a valuable tool for managing nonpalpable testes.
- A 14-year surgical experience provides long-term data on laparoscopic interventions.
Purpose:
- To report long-term surgical outcomes of laparoscopic management for intra-abdominal testes.
- To evaluate the efficacy of the two-stage Fowler-Stephens orchiopexy (FSO) technique.
- To assess the success rates and complications associated with laparoscopic orchiopexy.
Summary:
- A retrospective study analyzed 174 laparoscopic procedures for nonpalpable testes between 1996 and 2009.
- 72 intra-abdominal testes were identified, with 40 boys undergoing the two-stage FSO technique.
- The two-stage FSO demonstrated a high success rate (27/42 very successful, 7/42 good results) with no intraoperative complications.
Impact:
- Laparoscopy is highly effective for intra-abdominal testes, especially those with short spermatic vessels.
- The two-stage Fowler-Stephens orchiopexy is the preferred technique due to its high success rate.
- This study supports the routine use of laparoscopy and the two-stage FSO for optimal management of undescended testes.
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