Simultaneous second-stage Fowler-Stephens Orchiopexy and microvascular testicular autotransplantation in a patient with prune belly syndrome with cryptorchidism.

同时进行第二阶段 Fowler - Stephens 睾丸固定术和微血管睾丸自体移植治疗伴有隐睾的修剪腹部综合征。

• 发表时间: 2023 Oct
• 来源期刊: J Surg Case Rep
• DOI: 10.1093/jscr/rjad588
• PMID: 37901606
• 文章类型: Case Reports
• 作者列表: Larson BM,Francis A,McMahon DR,Massanyi EZ,Murthy A

关键词: Fowler–Stephens Orchiopexy; cryptorchidism; microsurgery; prune belly syndrome

Abstract

We present a case of simultaneous second-stage Fowler-Stephens Orchiopexy (FSO) with microvascular testicular autotransplantation for cryptorchidism and in a patient with prune belly syndrome. At 5 months old, the patient underwent laparoscopic bilateral first-stage FSO with the right testicle located 1 cm from the liver and the left slightly more caudal. An ultrasound on postoperative Day 72 following second-stage FSO and microvascular autotransplantation showed patent testicular vasculature. Our experience shows that this combination technique is safe and effective to supercharge the testicle and augment collateral vessels if clinical suspicion for monotherapy failure is high.

摘要

我们介绍了同时进行第二阶段Fowler-StephensOrchiopexy（FSO）与微血管睾丸自体移植治疗隐睾和修剪腹部综合征的病例。在5个月大的时候，患者接受了腹腔镜双侧一期FSO,右侧睾丸位于距肝脏1cm处,左侧睾丸稍稍大于尾部.在第二阶段FSO和微血管自体移植后的术后第72天，超声检查显示睾丸脉管系统未闭。我们的经验表明，如果临床怀疑单一疗法失败，这种组合技术可以安全有效地增加睾丸和增加侧支血管。