PURPOSE: Patients with intra-abdominal testes represent a small but challenging group who require innovative therapy. We report our 17-year experience with testicular autotransplantation. MATERIALS AND METHODS: Testicular autotransplantation was performed in 23 patients with 27 intra-abdominal testes. RESULTS: The success rate was 96% and average operative time was 4.25 hours with 40 to 90 minutes for vascular anastomoses. A contralateral Fowler-Stephens procedure had previously failed in 3 cases. CONCLUSIONS: Since the variability of collateral blood supply in patients with high undescended testes may potentially compromise the Fowler-Stephens procedure, we believe that testicular autotransplantation should be strongly considered in such patients, particularly those with bilateral undescended testicles.
PURPOSE:Patients with intra-abdominal testes represent a small but challenging group who require innovative therapy. We report our 17-year experience with testicular autotransplantation. MATERIALS AND METHODS: Testicular autotransplantation was performed in 23 patients with 27 intra-abdominal testes. RESULTS: The success rate was 96% and average operative time was 4.25 hours with 40 to 90 minutes for vascular anastomoses. A contralateral Fowler-Stephens procedure had previously failed in 3 cases. CONCLUSIONS: Since the variability of collateral blood supply in patients with high undescended testes may potentially compromise the Fowler-Stephens procedure, we believe that testicular autotransplantation should be strongly considered in such patients, particularly those with bilateral undescended testicles.
Authors: F El-Anany; M Gad El-Moula; A Abdel Moneim; A Abdallah; M Takahashi; H Kanayama; A El-Haggagy Journal: Surg Endosc Date: 2007-03 Impact factor: 3.453