Bilateral High Intra‐Abdominal Testes Successfully Treated With Multistage Fowler–Stephens Orchiopexy to Preserve Testicular Function

ABSTRACT Introduction A case of bilateral high intra‐abdominal testes successfully treated with multistage Fowler–Stephens orchiopexy is reported. Case Presentation A 6‐month‐old boy with bilateral nonpalpable testes was diagnosed with a left intra‐abdominal testis located immediately caudal to the...

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Main Authors: Akari Hiraguri, Yuichi Sato, Junya Hata, Yusuke Kirihana, Akihisa Hasegawa, Satoru Meguro, Kanako Matsuoka, Seiji Hoshi, Souichiro Ogawa, Yoshiyuki Kojima
Format: Article
Language:English
Published: Wiley 2025-07-01
Series:IJU Case Reports
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Online Access:https://doi.org/10.1002/iju5.70059
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author Akari Hiraguri
Yuichi Sato
Junya Hata
Yusuke Kirihana
Akihisa Hasegawa
Satoru Meguro
Kanako Matsuoka
Seiji Hoshi
Souichiro Ogawa
Yoshiyuki Kojima
author_facet Akari Hiraguri
Yuichi Sato
Junya Hata
Yusuke Kirihana
Akihisa Hasegawa
Satoru Meguro
Kanako Matsuoka
Seiji Hoshi
Souichiro Ogawa
Yoshiyuki Kojima
author_sort Akari Hiraguri
collection DOAJ
description ABSTRACT Introduction A case of bilateral high intra‐abdominal testes successfully treated with multistage Fowler–Stephens orchiopexy is reported. Case Presentation A 6‐month‐old boy with bilateral nonpalpable testes was diagnosed with a left intra‐abdominal testis located immediately caudal to the spleen on magnetic resonance imaging and laparoscopy. At the age of 4 years, diffusion‐weighted magnetic resonance imaging detected a structure immediately caudal to the liver, which was suspected to be the right testis. With a diagnosis of bilateral intra‐abdominal testes, one‐stage Fowler–Stephens orchiopexy was performed on the right testis at 5 years of age. After confirming its development, two‐stage Fowler–Stephens orchiopexy was performed on the left testis at 10 years of age. Conclusion After confirming the development of the right testis that underwent one‐stage Fowler–Stephens orchiopexy, two‐stage Fowler–Stephens orchiopexy was completed on the left testis, resulting in the successful preservation of both testes and normal sexual development.
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issn 2577-171X
language English
publishDate 2025-07-01
publisher Wiley
record_format Article
series IJU Case Reports
spelling doaj-art-97cf461075d24482a26f4cc30e1164492025-08-20T02:38:09ZengWileyIJU Case Reports2577-171X2025-07-018442743010.1002/iju5.70059Bilateral High Intra‐Abdominal Testes Successfully Treated With Multistage Fowler–Stephens Orchiopexy to Preserve Testicular FunctionAkari Hiraguri0Yuichi Sato1Junya Hata2Yusuke Kirihana3Akihisa Hasegawa4Satoru Meguro5Kanako Matsuoka6Seiji Hoshi7Souichiro Ogawa8Yoshiyuki Kojima9Department of Urology Fukushima Medical University School of Medicine Fukushima JapanDepartment of Urology Fukushima Medical University School of Medicine Fukushima JapanDepartment of Urology Fukushima Medical University School of Medicine Fukushima JapanDepartment of Urology Fukushima Medical University School of Medicine Fukushima JapanDepartment of Urology Fukushima Medical University School of Medicine Fukushima JapanDepartment of Urology Fukushima Medical University School of Medicine Fukushima JapanDepartment of Urology Fukushima Medical University School of Medicine Fukushima JapanDepartment of Urology Fukushima Medical University School of Medicine Fukushima JapanDepartment of Urology Fukushima Medical University School of Medicine Fukushima JapanDepartment of Urology Fukushima Medical University School of Medicine Fukushima JapanABSTRACT Introduction A case of bilateral high intra‐abdominal testes successfully treated with multistage Fowler–Stephens orchiopexy is reported. Case Presentation A 6‐month‐old boy with bilateral nonpalpable testes was diagnosed with a left intra‐abdominal testis located immediately caudal to the spleen on magnetic resonance imaging and laparoscopy. At the age of 4 years, diffusion‐weighted magnetic resonance imaging detected a structure immediately caudal to the liver, which was suspected to be the right testis. With a diagnosis of bilateral intra‐abdominal testes, one‐stage Fowler–Stephens orchiopexy was performed on the right testis at 5 years of age. After confirming its development, two‐stage Fowler–Stephens orchiopexy was performed on the left testis at 10 years of age. Conclusion After confirming the development of the right testis that underwent one‐stage Fowler–Stephens orchiopexy, two‐stage Fowler–Stephens orchiopexy was completed on the left testis, resulting in the successful preservation of both testes and normal sexual development.https://doi.org/10.1002/iju5.70059Fowler–Stephens orchiopexyintra‐abdominal testismagnetic resonance imagingnonpalpable testestesticular development
spellingShingle Akari Hiraguri
Yuichi Sato
Junya Hata
Yusuke Kirihana
Akihisa Hasegawa
Satoru Meguro
Kanako Matsuoka
Seiji Hoshi
Souichiro Ogawa
Yoshiyuki Kojima
Bilateral High Intra‐Abdominal Testes Successfully Treated With Multistage Fowler–Stephens Orchiopexy to Preserve Testicular Function
IJU Case Reports
Fowler–Stephens orchiopexy
intra‐abdominal testis
magnetic resonance imaging
nonpalpable testes
testicular development
title Bilateral High Intra‐Abdominal Testes Successfully Treated With Multistage Fowler–Stephens Orchiopexy to Preserve Testicular Function
title_full Bilateral High Intra‐Abdominal Testes Successfully Treated With Multistage Fowler–Stephens Orchiopexy to Preserve Testicular Function
title_fullStr Bilateral High Intra‐Abdominal Testes Successfully Treated With Multistage Fowler–Stephens Orchiopexy to Preserve Testicular Function
title_full_unstemmed Bilateral High Intra‐Abdominal Testes Successfully Treated With Multistage Fowler–Stephens Orchiopexy to Preserve Testicular Function
title_short Bilateral High Intra‐Abdominal Testes Successfully Treated With Multistage Fowler–Stephens Orchiopexy to Preserve Testicular Function
title_sort bilateral high intra abdominal testes successfully treated with multistage fowler stephens orchiopexy to preserve testicular function
topic Fowler–Stephens orchiopexy
intra‐abdominal testis
magnetic resonance imaging
nonpalpable testes
testicular development
url https://doi.org/10.1002/iju5.70059
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