Laparoscopic single-stage Fowler-Stephens orchidopexy in a case of orchidogastric fusion - Abstract

Division of Pediatric Surgery, Children's Hospital of Alabama, University of Alabama at Birmingham, Birmingham, Alabama.

This report describes laparoscopic Fowler-Stephens orchidopexy for cryptorchidism resulting from orchidogastric fusion in an infant born with gastroschisis. At 11 months of age, the left testicle remained impalpable, and diagnostic laparoscopy was performed. Intraoperatively, a normal-appearing testicle was found attached to the stomach. The testicle was dissected, mobilized down to the left inguinal ring, exteriorized through a transscrotal trocar, and subsequently fixated in the lower left scrotum. On follow-up 5 months later, both testicles were normal in size and location. Single-stage laparoscopic Fowler-Stephens orchidopexy is easily accomplished in cases of orchidogastric fusion resulting from a long vas deferens.

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Muensterer OJ.   Are you the author?

Reference: Urology. 2011 Feb 10. Epub ahead of print.
doi: 10.1016/j.urology.2010.12.032

PubMed Abstract
PMID: 21316082 Pediatric Urology Section