Orchiopexy: Difference between revisions

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'''Orchiopexy''' is a surgical procedure that is primarily used to treat [[testicular torsion]], [[cryptorchidism]], and other related conditions. The procedure involves moving an undescended testicle into the scrotum and securing it in place.  
{{Short description|Surgical procedure to correct undescended testicles}}
 
== Orchiopexy ==
[[File:Kju-51-155-g001.jpg|thumb|right|Diagram of an orchiopexy procedure]]
'''Orchiopexy''' is a surgical procedure used to correct [[cryptorchidism]], a condition where one or both of the [[testes]] fail to descend into the [[scrotum]]. This procedure is typically performed in [[pediatric surgery]] but can also be necessary in adults with undescended testicles.


== Indications ==
== Indications ==
Orchiopexy is primarily indicated for the treatment of cryptorchidism. It is recommended to perform the surgery between 6 and 18 months of age to reduce the risk of [[infertility]] and [[testicular cancer]].


Orchiopexy is indicated in cases of [[cryptorchidism]], a condition where one or both of the testes fail to descend. It is also used to treat [[testicular torsion]], a painful condition caused by the twisting of the spermatic cord, which can lead to loss of blood flow to the testicle.
== Procedure ==
The procedure involves making an incision in the [[inguinal region]] or [[scrotum]] to locate the undescended testicle. The testicle is then mobilized and brought down into the scrotum, where it is secured in place. This may involve the use of sutures to prevent retraction.


== Procedure ==
=== Surgical Techniques ===
There are several techniques for performing an orchiopexy, including:
* '''Inguinal approach''': The most common method, involving an incision in the groin.
* '''Scrotal approach''': Used for testicles that are palpable near the scrotum.
* '''Laparoscopic orchiopexy''': A minimally invasive technique using small incisions and a camera.


The procedure is typically performed under general anesthesia. A small incision is made in the groin area, and the testicle is located and mobilized. The testicle is then brought down into the scrotum and stitched into place to prevent it from moving back up into the abdomen.
== Postoperative Care ==
After the surgery, patients are usually advised to avoid strenuous activities for a few weeks. Pain management and monitoring for signs of infection are important aspects of postoperative care.


== Complications ==
== Complications ==
 
Potential complications of orchiopexy include:
As with any surgical procedure, there are potential complications associated with orchiopexy. These may include infection, bleeding, damage to the testicle or spermatic cord, and anesthesia risks. In some cases, the procedure may not be successful in bringing the testicle into the scrotum or the testicle may not function properly after the procedure.
* [[Infection]]
* [[Bleeding]]
* Testicular atrophy
* Recurrence of cryptorchidism


== Prognosis ==
== Prognosis ==
The prognosis after orchiopexy is generally excellent, with most patients experiencing normal testicular function and reduced risk of complications associated with undescended testicles.


The prognosis following orchiopexy is generally good. Most men who undergo the procedure are able to lead normal lives. However, some may experience fertility issues or an increased risk of testicular cancer.
== Related pages ==
 
== See also ==
* [[Cryptorchidism]]
* [[Cryptorchidism]]
* [[Testicular torsion]]
* [[Testicular cancer]]
* [[Inguinal hernia]]
* [[Infertility]]
* [[Pediatric surgery]]


[[Category:Medical procedures]]
[[Category:Surgical procedures]]
[[Category:Urology]]
[[Category:Urology]]
[[Category:Surgery]]
[[Category:Pediatrics]]
 
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Latest revision as of 10:51, 15 February 2025

Surgical procedure to correct undescended testicles


Orchiopexy[edit]

Diagram of an orchiopexy procedure

Orchiopexy is a surgical procedure used to correct cryptorchidism, a condition where one or both of the testes fail to descend into the scrotum. This procedure is typically performed in pediatric surgery but can also be necessary in adults with undescended testicles.

Indications[edit]

Orchiopexy is primarily indicated for the treatment of cryptorchidism. It is recommended to perform the surgery between 6 and 18 months of age to reduce the risk of infertility and testicular cancer.

Procedure[edit]

The procedure involves making an incision in the inguinal region or scrotum to locate the undescended testicle. The testicle is then mobilized and brought down into the scrotum, where it is secured in place. This may involve the use of sutures to prevent retraction.

Surgical Techniques[edit]

There are several techniques for performing an orchiopexy, including:

  • Inguinal approach: The most common method, involving an incision in the groin.
  • Scrotal approach: Used for testicles that are palpable near the scrotum.
  • Laparoscopic orchiopexy: A minimally invasive technique using small incisions and a camera.

Postoperative Care[edit]

After the surgery, patients are usually advised to avoid strenuous activities for a few weeks. Pain management and monitoring for signs of infection are important aspects of postoperative care.

Complications[edit]

Potential complications of orchiopexy include:

Prognosis[edit]

The prognosis after orchiopexy is generally excellent, with most patients experiencing normal testicular function and reduced risk of complications associated with undescended testicles.

Related pages[edit]