Microsurgery of Cryptorchidism II: Managing Arterial Caliber Discrepancy

Abstract

The occurrence of microanastomotic thrombosis in autotransplantation of the cryptorchid testis seems to result from low runoff in the small vascular bed of the transplanted testis. A new method for testicular revascularization is presented to compensate for the customary three- to fivefold caliber discrepancy between the testicular and deep inferior epigastric arteries. An arteriovenous fistula is created between the deep inferior epigastric artery and a vena comitans to reduce outflow resistance and normalize flow rates between the feeding artery and its runoff bed.

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DOI

10.1097/00000637-199308000-00012

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