Clinical Evaluation of the Testicular Size Post Stephens Fowler's Operation in High Intra-Abdominal Testicle

doi:10.21608/ejhm.2025.466080

Clinical Evaluation of the Testicular Size Post Stephens Fowler's Operation in High Intra-Abdominal Testicle

Document Type : Original Article

10.21608/ejhm.2025.466080

Abstract

Background: Cryptorchidism, or undescended testis (UDT), is a common congenital anomaly affecting 2–8% of full-term boys. Surgical intervention, specifically the two-stage Fowler-Stephens orchidopexy, is the preferred treatment for intra-abdominal testis. Objectives: This study aimed to evaluate testicular size post-Fowler-Stephens operation in boys with abdominal cryptorchidism.
Patients and Methods: A prospective cohort study was conducted on 24 patients aged 6 months to 16 years with UDT requiring orchidopexy using the two-stage Fowler-Stephens procedure at Menoufia University Hospitals. Demographic data, clinical history, and laboratory tests were collected, and testicular size and volume were assessed preoperatively, post-first stage, post-second stage, and at 3 months follow-up.
Results: Patients had a mean age of 35.2 ± 47.09 months, with 54.17% having right impalpable UDT. Preoperative testicular size was 1.70 × 1.42 cm, and post-operative sizes were 1.70 × 1.46 cm at both stages and remained 1.70 × 1.46 cm at 3 months. Testicular volume increased from 0.23 ± 0.11 ml at the first stage to 0.29 ± 0.14 ml at 3 months (p < 0.05).
Conclusion:Management of high intra-abdominal testes with the two-stage laparoscopic Fowler-Stephens approach has been shown to support testicular growth and normalization in size.

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