In the period between 1981 and 1986, 22 microvascular testicular autotransplantations were performed on 18 patients at the Royal Manchester Children's Hospital. The preoperative assessment, the operative technique, and the follow-up results are discussed. Of 22 transplanted testes, four (18.2%) became partially or totally atrophic. The early results are very encouraging; however, only long-term postpubertal follow-up regarding both fertility and malignancy can reveal the real value of this operation.
Key wordsCryptorchidsm Microvascular surgery Autotransplantation
- 1.Bianchi A (1984) Microvascular orchiopexy for high undescended testes. Br J Urol 56:521–527Google Scholar
- 2.Fowler R, Stephens FD (1959) The role of testicular vascular anatomy in the salvage of high undescended testes. Aust NZ J Surg 29: 92–106Google Scholar
- 3.Levitt SB, Kogan SJ, Engel RH, Weiss RM, Martin DC, Ehrlich RM (1978) The impalpable testis: a rational approach to management. J Urol 120:515–520Google Scholar
- 4.Scorer CG, Farrington GH (1972) The testis at birth and during infancy. In: Congenital deformities of the testis and epididymis. Appleton-Century-Crofts, New York, p 21Google Scholar
- 5.Silber SJ, Kelly J (1976) Successful autotransplantation of an intra-abdominal testis to the scrotum by microvascular technique. J Urol 115:452–454Google Scholar