2-STAGE ORCHIOPEXY WITH LAPAROSCOPIC CLIP LIGATION OF THE SPERMATIC VESSELS IN PRUNE-BELLY SYNDROME

A 1-year-old boy with prune-belly syndrome underwent unilateral laparo scopic clip ligation of the spermatic vessels with the hope of develop ing vasal collateral circulation. Six months later, the patient underw ent ipsilateral second-stage orchiopexy on the right testis after divi sion of the ligated spermatic vessels and contralateral Fowler-Stephen s orchiopexy on the left testis in combination with major urinary trac t reconstructions and abdominoplasty. For the following 1-year period, both testes were growing and comparable in size. Copyright (C) 1995 b y W.B. Saunders Company