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Testicular arteries anatomy applied to fowler-sthephens surgery in high undescended testis - a narrative review.

Authors
  • Benzi, Tatiana C1
  • Logsdon, Natasha T1
  • Sampaio, Francisco J B1
  • Favorito, Luciano Alves1
  • 1 Unidade de Pesquisa Urogenital - Universidade do Estado do Rio de Janeiro - Uerj, Rio de Janeiro, RJ, Brasil.
Type
Published Article
Journal
International braz j urol : official journal of the Brazilian Society of Urology
Publication Date
Jan 01, 2022
Volume
48
Issue
1
Pages
8–17
Identifiers
DOI: 10.1590/S1677-5538.IBJU.2021.99.11
PMID: 34003614
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

In this review we will describe the testicular vessels anatomy and the implications of these vessels in surgical treatment of high undescended testis. We performed a narrative review of the literature about the role of the testicular arteries anatomy in the treatment of high undescended testis. We also studied two human testes to illustrate the testicular vascularization. Each testis is irrigated by three arteries: testicular artery (internal spermatic artery), a branch of the right aorta; deferential artery (vasal artery), a branch of the inferior vesicle artery that originates from the anterior trunk of internal iliac artery and cremasteric artery (external spermatic artery), a branch of the inferior epigastric artery. There are important communications among the three arteries with visible anastomotic channels between the testicular and deferential arteries. Laparoscopic transection of the testicular vessels by dividing the spermatic vessels (Fowler-Stephens surgery) is safe in patients with high abdominal testis due to the great collateral vascular supply between testicular, vasal and cremasteric arteries; also, two-stage Fowler-Stephens orchiopexy appears to carry a higher rate of success than the single stage approach. Copyright® by the International Brazilian Journal of Urology.

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