Fowler Stephen Surgery

Q) Fowler Stephen Surgery is done for 

a) Epispadias

b) Hypospadias

c) Exstrophy of bladder

d) Cryptorchidism

Answer Free for all 

d) Cryptorchidism

 

Cryptorchidism - Fowler stephens surgery means division of short testicular vessels to mobilise the testis

The testicular blood supply is then dependent on collaterals from the vasal artery.

Surgeries for Epispadias are - 

Exstrophy 

1. MSRE- Modern stage repair of Exstrophy includes bladder closure, pelvic osteotomies followed by epispadis repair and uretheroplasty at 12-18 months

 Young-Dees-Leadbetter repair- Bladder neck reconstruction for exstrophy

 Kelly repair (RSTM) Radical soft tissue mobilization

2.  Complete primary repair for classic bladder exstrophy (CPRE) 

 

 

 

Ureteral injuries

Q) A 24 year old male suffers low velocity gun shot wound in lower abdomen. On exploration there is a 1 cm segment loss of left ureter above the pelvic brim. Best management is :

a) Ureterocystostomy

b) Uretero ureterostomy

c) Ureterostomy

d) Ligation of ureter