Fowler-Stephens orchidopexy
Two-stage surgical technique for bringing high undescended testes into the scrotum by dividing testicular vessels.
Full Definition
Fowler-Stephens orchidopexy is a specialized surgical technique used for high undescended testes that cannot reach the scrotum with standard mobilization. The procedure involves dividing the testicular vessels while preserving the vasal vessels and cremasteric circulation to provide blood supply to the testis. This can be performed as a single-stage or two-stage procedure, with the two-stage approach showing better success rates for very high testes. The technique is often performed laparoscopically and requires careful patient selection based on testicular location and vessel anatomy.
Usage
Usage note: Specify single-stage vs. two-stage approach; note laparoscopic vs. open technique.
In Context
- "Laparoscopic Fowler-Stephens orchidopexy was planned for the intra-abdominal testis." — Preoperative planning note
- "Six months after stage one Fowler-Stephens, the testis showed good viability on ultrasound." — Follow-up assessment