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Testicular autotransplantation for the intra-abdominal testis

✍ Scribed by Timothy P. Bukowski; Jeffrey Wacksman; David A. Billmire; Curtis A. Sheldon

Publisher: John Wiley and Sons
Year: 1995
Tongue: English
Weight: 601 KB
Volume: 16
Category: Article
ISSN: 0738-1085
DOI: 10.1002/micr.1920160503

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Oftentimes patients with intra‐abdominal testes require more than the standard procedure to accomplish orchiopexy. Division of the spermatic vessels has been one mainstay of operative approaches for the intra‐abdominal testis since Fowler and Stephens (Congenital Malformations of Rectum, Anus, and Genitouriary Tracts, chapter 19, pp 306–320, 1963) provided an anatomically rational basis for this procedure. Silber and Kelly (J Urol, 115:452–454, 1976) first described using a microvascular anastomosis to bring extra blood supply to the testicle after mobilization of a high intra‐abdominal testicle into the scrotum; however, this approach has not been adopted by many for a number of reasons. The microvascular skill and instrumentation required for a successful anastomosis are not universally available and there is a misconception that the procedure is a lengthy one (Bianchi, Br J Urol 56:521–524, 1984; Bogaert et al., Urology 42:182–188, 1993). We present our series for testicular autotransplantation used over a 17 year period with a greater than 95% success. © 1995 Wiley‐Liss, Inc.

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