Open Access

PEDIATRIC UROLOGY

Outcome of bilateral laparoscopic Fowler-Stephens orchidopexy for bilateral intra-abdominal testes

Ahmed S. Safwat¹, Hisham M. Hammouda¹, Adel A. Kurkar¹, Nabil K. Bissada²

1 Department of Urology, Assiut University Hospital, Egypt
2 Department of Urology, University of Oklahoma, Oklahoma, USA
Address correspondence to Dr. Ahmed S Safwat, Pediatric Urology Section, Department of Urology, Assiut University Hospital, Assiut 71516, Egypt

Canadian Journal of Urology 2013, 20(5), 6951-6955.

Abstract

Introduction: To evaluate the outcome of bilateral laparoscopic Fowler-Stephens orchidopexy (BLFSO) for bilateral intra-abdominal testes.
Materials and methods: Prospectively, all patients with bilateral intra-abdominal testes between 2006 and 2010 were included in this study. Patients’ data were analyzed for age, procedure whether single stage or staged Fowler-Stephens, intraoperative and postoperative complications, and follow-up results.
Results: BLFSO was performed in a total of 48 testes in 24 boys with a median age of 31.6 months (range 12 to 150). All procedures were performed on an outpatient basis. Of the 24 boys, six were managed with a single stage BLFSO. The remaining 18 patients were managed with staged Fowler-Stephens orchidopexy. Testicular position after laparoscopy was the mid lower scrotum in 43 testes, the remaining five testes retracted to the inguinal canal in three (required inguinal approach for orchidopexy) and to the neck of scrotum in two. Testicular atrophy was encountered in two testes with a follow-up of 18 months postoperatively.
Conclusions: Outpatient single stage or staged bilateral laparoscopic Fowler-Stephens orchidopexy were successful in managing boys with bilateral intra-abdominal testes.

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