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Current Practice and Outcomes in the Management of Intra-abdominal Testes.
- Source :
-
European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie [Eur J Pediatr Surg] 2015 Oct; Vol. 25 (5), pp. 409-13. Date of Electronic Publication: 2014 Jul 31. - Publication Year :
- 2015
-
Abstract
- Introduction: Fowler-Stephens orchidopexy is the most widely used technique for the surgical management of intra-abdominal testes with laparoscopy being the preferred approach. The aim of this study was to review all two-stage laparoscopic Fowler-Stephens orchidopexies performed in one pediatric surgical unit over a 7-year period.<br />Methods: A retrospective case series of all patients undergoing two-stage laparoscopic Fowler-Stephens orchidopexy was performed. Primary outcome measure was testicular atrophy at follow-up. Secondary outcomes included testicular atrophy at second-stage operation and testicular ascent requiring redo surgery.<br />Results: A total of 83 two-stage laparoscopic Fowler-Stephens orchidopexy were performed, with outcome data available for 67. Median age at first stage was 1 year 11 months. No testes had undergone atrophy at the second-stage laparoscopy. Median follow-up was 1 year. The overall success rate was 86.4%. Seven patients were noted to have an atrophic testis at the initial clinic review. Five patients required redo orchidopexy for testicular ascent. Of these, two patients had a successful result, two patients subsequently had testicular atrophy and one awaits redo surgery.<br />Conclusion: We conclude that Fowler-Stephens orchidopexy has a relatively good outcome. The rates of reoperation after the two-stage Fowler-Stephens orchidopexy were low in this study. Overall success rate compares very favorably to published literature.<br /> (Georg Thieme Verlag KG Stuttgart · New York.)
Details
- Language :
- English
- ISSN :
- 1439-359X
- Volume :
- 25
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie
- Publication Type :
- Academic Journal
- Accession number :
- 25077595
- Full Text :
- https://doi.org/10.1055/s-0034-1383854