Orchiopexy

Orchiopexy

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

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

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

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

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

Potential complications of orchiopexy include:

• Infection
• Bleeding
• Testicular atrophy
• Recurrence of cryptorchidism

Prognosis

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

• Cryptorchidism
• Testicular cancer
• Infertility
• Pediatric surgery