Letter to editor: Two-stage Fowler-Stephens orchidopexy in management of undescended testes: Is it time for a change? A UK multi-centre retrospective study
Topic overview
This letter responds to a UK multi-centre study examining two-stage Fowler-Stephens orchidopexy outcomes for intraabdominal testes, highlighting a concerning 22% testicular atrophy rate. The procedure involves staged division of testicular vessels and gubernaculum, relying solely on vasal artery blood supply, prompting discussion about current surgical approaches.
Key takeaways
- Two-stage Fowler-Stephens orchidopexy for intra-abdominal testis shows a 22% testicular atrophy rate across UK centres.
- Atrophy definition included testicular nubbin or non-palpable testis on postoperative follow-up.
- Procedure relies solely on vasal artery blood supply after dividing gonadal vessels in stage one.
- High atrophy rates question whether current two-stage approach remains optimal for intra-abdominal undescended testes.
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How to cite: GlobalCastMD. Letter to editor: Two-stage Fowler-Stephens orchidopexy in management of undescended testes: Is it time for a change? A UK multi-centre retrospective study. GlobalCastMD Medical Library. 2025-09-23. https://library.globalcastmd.com/article/11035
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