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Undescended Testicle 
Orchiopexy Surgery

inmemiş testis

If a child's undescended testicles are palpable or can be examined by a doctor, an operation called orchiopexy may be performed to reposition them. Orchiopexy requires general anesthesia.

During the procedure, the surgeon makes a small incision in the groin or scrotum. The surgeon then frees the testicles from their surrounding appendages and inserts them into the scrotum.

If a baby's undescended testicles are not palpable or located above the tummy, the surgeon may use a laparoscope (a thin tube with a small camera at the end) to locate the testicles. The surgeon inserts the laparoscope through a small incision in the abdomen. Next, an incision is made in the scrotum. The testis is moved from the abdomen to the scrotum and fixed in place.

Most boys only need one procedure to correct this condition. Sometimes, if the testicles are located high in the abdomen, the blood vessels attached to them may not be long enough to allow the testicles to be inserted into the scrotum. Two surgeries, several months apart, may be necessary to safely place the testicles into the scrotum.

Complications of orchiopexy are rare but can include bleeding and infection. Testicular atrophy or loss of the testicles is rare but can occur, especially when a blood vessel attached to the testicle needs to be divided to grow long enough to perform the surgery.

Most children can return home on the day of surgery. We may prescribe a mild pain reliever such as acetaminophen to your child.

For rapid recovery and for preventing discomfort, we recommend that your baby to avoid ride-on toys or inflatable seats in the days after surgery. However, it is important that infants and children continue to be restrained in their safety seats to prevent injuries while traveling.

We usually recommend a control visit 7 to 10 days after surgery. During this appointment, you can find out if your child is feeling better and is improving. The sutures we use to close the incision are usually dissolvable.

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