Treatment of high undescended testes by low spermatic vessel ligation: an alternative to the Fowler-Stephens technique.

@article{Koff1996TreatmentOH,
  title={Treatment of high undescended testes by low spermatic vessel ligation: an alternative to the Fowler-Stephens technique.},
  author={Stephen A. Koff and Prabhdeep S Sethi},
  journal={The Journal of urology},
  year={1996},
  volume={156 2 Pt 2},
  pages={799-803; discussion 803}
}
PURPOSE We determined whether testis viability after a Fowler-Stephens orchiopexy depends on ligating the spermatic vessels high and far proximal to the undescended testis. MATERIALS AND METHODS Based on studies of testicular vascular anatomy we developed a technique of low spermatic vessel ligation and performed it on 39 high undescended testes in 33 patients. RESULTS Testis viability was 97% at 1 month and 93% (25 of 27) at 1 year. CONCLUSIONS Ligation of the spermatic vessels does not… CONTINUE READING