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Experience with the Fowler Stephens and Microvascular Procedures in the Management of Intra‐abdominal Testes
Author(s) -
BODDY S.A. M.,
GORDON A. C.,
THOMAS D. F. M.,
BROWNING F. S. C.
Publication year - 1991
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1991.tb15295.x
Subject(s) - medicine , stage (stratigraphy) , surgery , anatomy , biology , paleontology
Summary— The Fowler Stephens operation and microvascular procedures were compared for the management of 23 intra‐abdominal testes in 15 boys, 7 of whom had the prune belly syndrome. The Fowler Stephens operation was used for 15 testes (4 single‐stage and 11 two‐stage) and microvascular transfer was used for 8 testes. Eleven testes treated by the Fowler Stephens procedure (73%) and 7 treated by microvascular procedures (88%) were viable and intrascrotal after an average follow‐up of 3.0 years, giving an overall success rate of 78%. Eight of 9 post‐pubertal testes were biopsied. Severe maturational arrest was evident in all and carcinoma in situ was present in one.