Nguyen D H, Mitchell M E
Division of Pediatric Urology, University of Washington, Seattle.
J Urol. 1993 Jan;149(1):94-5. doi: 10.1016/s0022-5347(17)36009-3.
A rare complication following a difficult unilateral 1-stage Fowler-Stephens orchiopexy resulting in ipsilateral distal ureteral obstruction is reported. To our knowledge excessive vasal traction during orchiopexy causing partial obstruction at the ureterovesical junction has not been previously described. The complication arose when the transected spermatic vessels allowed tension to be placed solely on the vas when the testis was placed in the scrotum. The vas in turn compressed the ureter during bladder filling.
据报道，单侧一期福勒 - 斯蒂芬斯睾丸固定术操作困难后出现罕见并发症，导致同侧远端输尿管梗阻。据我们所知，此前尚未有过关于睾丸固定术期间输精管过度牵拉导致输尿管膀胱连接处部分梗阻的描述。当睾丸放入阴囊时，切断的精索血管致使张力仅作用于输精管，进而引发了这一并发症。而在膀胱充盈时，输精管又压迫了输尿管。
