1/3. Two-stage orchiopexy with laparoscopic clip ligation of the spermatic vessels in prune-belly syndrome.A 1-year-old boy with prune-belly syndrome underwent unilateral laparoscopic clip ligation of the spermatic vessels with the hope of developing vasal collateral circulation. Six months later, the patient underwent ipsilateral second-stage orchiopexy on the right testis after division if the ligated spermatic vessels and contralateral Fowler-Stephens orchiopexy on the left testis in combination with major urinary tract reconstructions and abdominoplasty. For the following 1-year period, both testes were growing and comparable in size.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
2/3. Laparoscopic orchidopexy in the prune belly syndrome: a case report and review of the literature.The management of the testicles in the prune belly syndrome can be problematic after the neonatal period. Laparoscopic orchidopexy has been used for the intra-abdominal testis with success. A case of bilateral laparoscopic orchidopexy in a child with prune belly syndrome is presented. The testes were brought to the scrotum without division of the spermatic vessels, taking advantage of the extensive intra-abdominal dissection possible laparoscopically. This case demonstrates that therapeutic laparoscopic procedures are possible in the prune belly syndrome and that laparoscopic orchidopexy may have promise in older affected children or in those requiring no other concomitant surgery.- - - - - - - - - - ranking = 0.16666666666667keywords = vessel (Clic here for more details about this article) |
3/3. Fowler-Stephens orchiopexy in a patient with prune belly syndrome and segmental atretic vas deferens.Vasal atresia is thought to be a contraindication to the successful performance of the Fowler-Stephens orchiopexy. A patient with the prune belly syndrome and a high intra-abdominal testis with segmental vasal atresia was managed by incision and ligation of the internal spermatic vessels followed by orchiopexy without testicular atrophy.- - - - - - - - - - ranking = 0.16666666666667keywords = vessel (Clic here for more details about this article) |