Gibbons M D, Cromie W J, Duckett J W
J Urol. 1979 Jul;122(1):76-9. doi: 10.1016/s0022-5347(17)56263-1.
Of the orchiopexies performed for abdominal undescended testicles 85 per cent have resulted in satisfactory testicular growth and position. Three-fourths of these cases were in boys with the prune belly syndrome. We are satisfied with our recent experience using the Fowler-Stephens procedure to salvage intra-abdominal undescended testicles. An analysis of the failures in 5 testes early in this series, resulting in partial atrophy, has helped us to avoid technical errors through attention to the following details: 1) preservation of a broad pedicle of peritoneum overlying the mobilized vas, 2) avoidance of any dissection of the spermatic cord and 3) high ligation of the spermatic vessels well above the point of confluence of the vas and spermatic vessels. Although the Fowler-Stephens procedure has some risk of testicular ischemia and atrophy we believe it to be the preferred way to gain mobility on a short tethering gonadal vascular pedicle.
在为腹内隐睾实施的睾丸固定术中，85%的手术使睾丸获得了令人满意的生长及位置。其中四分之三的病例为患有梅干腹综合征的男孩。我们对近期采用福勒 - 斯蒂芬斯手术挽救腹内隐睾的经验感到满意。对本系列早期5例手术失败导致睾丸部分萎缩的分析，促使我们通过关注以下细节来避免技术失误：1）保留覆盖游离输精管的宽阔腹膜蒂；2）避免对精索进行任何解剖；3）在输精管与精索血管汇合点上方较高位置高位结扎精索血管。尽管福勒 - 斯蒂芬斯手术存在一定的睾丸缺血和萎缩风险，但我们认为这是在性腺血管蒂短且固定的情况下增加其活动度的首选方法。
