Fowler-Stephens orchiopexy in a patient with prune belly syndrome and segmental atretic vas deferens

Vasal atresia is thought to be a contraindication to the successful performance of the Fowler-Stephens orchiopexy. A patient with the prune belly syndrome and a high intra-abdominal testis with segmental vasal atresia was managed by incision and ligation of the internal spermatic vessels followed by orchiopexy without testicular atrophy.