The Journal of urology · 1995
Testicular autotransplantation: a 17-year review of an effective approach to the management of the intra-abdominal testis.
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Bukowski T P, Wacksman J, Billmire D A, Lewis A G, Sheldon C A
Аннотация
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.
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.