Microvascular orchiopexy.

In the period between 1981 and 1986, 22 microvascular testicular autotransplantations were performed on 18 patients at the Royal Manchester Children's Hospital. The preoperative assessment, the operative technique, and the follow-up results are discussed. Of 22 transplanted testes, four (18.2%) became partially or totally atrophic. The early results are very encouraging; however, only long-term postpubertal follow-up regarding both fertility and malignancy can reveal the real value of this operation.