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

• Published in: Journal of surgical case reports Vol. 2023; no. 10
• Main Authors: Larson, Brandon M, Francis, Ashish, McMahon, Daniel R, Massanyi, Eric Z, Murthy, Ananth
• Format: Journal Article
• Language: English
• Published: Oxford University Press 05-10-2023
• Subjects: Case Report; prune belly syndrome; Fowler–Stephens Orchiopexy; microsurgery; cryptorchidism
• ISSN: 2042-8812; 2042-8812
• DOI: 10.1093/jscr/rjad588

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.