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

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.