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which procedure is the surgical fixation of an undescended testicle

by Jayme Harvey Published 3 years ago Updated 2 years ago
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Surgery. An undescended testicle is usually corrected with surgery. The surgeon carefully manipulates the testicle into the scrotum and stitches it into place (orchiopexy). This procedure can be done either with a laparoscope or with open surgery.Jul 21, 2021

Is there a cure for undescended testicle?

There is no way to prevent this condition because the exact cause is not known. Treatment. A persistent undescended testicle usually is treated between 6 months and 2 years of age. Most cases can be corrected with a surgical procedure called orchiopexy, in which the surgeon brings the testicle down into the scrotum through the normal abdominal ...

Is surgery necessary for an undescended testicle?

Surgery is done to bring an undescended testicle into the normal position within the scrotum. Why treatment is needed. The longer a testicle remains outside the scrotum, the more likely it is that it will produce fewer sperm. An undescended testicle has a higher risk of cancer. This is true even after the testicle is brought down into the scrotum.

What is the treatment for an undescended testicle?

Undescended testicle

  • Undescended testicle diagnosis. The doctor performs a regular examination of the fetus shortly after the birth. ...
  • Undescended testicle treatment. It is better to treat cryptorchidism early in the boy’s life. ...
  • Surgery. It is a commonly used method of undescended testicle treatment. ...
  • Hormone treatment. ...
  • Other treatment methods. ...
  • Prognosis. ...

What normally causes undescended testicle?

Undescended testicle

  • Undescended testicle causes. There is no specific cause of undescended testicle known these days. ...
  • Undescended testicle risk factors. There are three groups of factors that increase the risk of an undescended testicle in an infant. ...
  • Cryptorchidism symptoms. ...
  • Complications. ...

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What is the medical term for an undescended testicle?

(krip-TOR-kih-dih-zum) A condition in which one or both testicles fail to move from the abdomen, where they develop before birth, into the scrotum. Cryptorchidism may increase the risk for development of testicular cancer. Also called undescended testicles.

What is an orchiopexy procedure?

Orchidopexy (OR-kid-o-pex-ee) is a surgery to move a testicle that has not descended or moved down to its proper place in the scrotum.

What is a fixation of a testicle?

A Scrotal Fixation of Testes (or Scrotal Orchidopexy) is the name of the operation used to treat Bell Clapper Testes. Bell Clapper Testes are an abnormality of the testicles that makes it more likely for a boy to develop a Testicular Torsion.

When should an undescended testicle be corrected?

If, as in your son's situation, the testicle has not moved in six months, then treatment usually is recommended. It's important to correct an undescended testicle as soon as possible, because, for testicles to develop and work normally, they need to be slightly cooler than normal body temperature.

What is the difference between orchiopexy and orchidopexy?

Orchiopexy (or orchidopexy) is a surgery to move an undescended (cryptorchid) testicle into the scrotum and permanently fix it there. Orchiopexy typically also describes the surgery used to resolve testicular torsion.

Why is orchiopexy done?

Surgical Correction (Orchidopexy) Orchidopexy is a surgical procedure that moves an undescended testicle into the scrotum. The operation is performed to reduce the risk of crush injury, correct the associated hernia, and/or alleviate the psychological concerns of having only one testicle visible in the scrotum.

Which surgical procedure is used to treat cryptorchidism?

Orchiopexy, the most common surgical procedure for correcting a single descending testicle, has a success rate of nearly 100 percent. Fertility for males after surgery with a single undescended testicle is nearly normal, but falls to 65 percent in men with two undescended testicles.

What is orchiopexy for testicular torsion?

Orchiopexy (say "OR-kee-oh-peck-see") is a type of surgery. It fixes a problem called testicle torsion. This happens when a testicle twists and the cord that supplies blood to your testicle also twists. Then blood can no longer flow to the testicle.

How long is surgery for undescended testicle?

During the surgery, your child will be given a numbing medication—either an injection in the low back called a caudal (COD-ull) or directly into the incision (in-SIZH-yun), or cut—to relieve discomfort after the surgery. This surgery takes about 45 minutes, but recovery from the anesthesia might take several hours.

What is the most common complication of undescended testis?

Men who've had an undescended testicle have an increased risk of testicular cancer. The risk is greater for undescended testicles located in the abdomen than in the groin, and when both testicles are affected.

Is orchiopexy safe?

Orchiopexy is considered a simple and safe surgical procedure that does not require overnight stay in the hospital. In treating paediatric cryptorchidism, it has high success rate with little to no complications.

What age should orchiopexy be done?

The ideal timing for surgical correction of undescended testes (orchidopexy) has been considered in a number of fora, which have resulted in a range of consensus statements/guidelines stating that orchidopexy should ideally be performed between 6 and 12 months of age, or 18 at the very latest [1-3].

How long does it take to recover from orchiopexy?

You should be able to do most of your normal activities after 1 to 2 weeks, except for those that require a lot of effort. It's important to avoid straining with bowel movements and doing heavy lifting while you recover.

Can a testicle retract after orchiopexy?

Although an orchiopexy is most commonly performed on young children, the procedure is also needed sometimes in older boys and men. In these instances, the testicle descends as normal but intermittently retracts back up into the groin area.

Can orchiopexy be done on adults?

Orchiopexy for adult patients is usually considered a cosmetic operation that provides a palpable testis for examination rather than to induce spermatogenesis.

What is the purpose of a surgical cutting and tying of the vas deferens?

a surgical cutting and tying of the vas deferens to prevent the passage of sperm, consequently preventing pregnancy

Why is my ureter distension?

distension of the ureter with urine due to blockage from an obstruction

What is Testicle Fixation (Orchiopexy) surgical procedure?

Testicle Fixation procedure is a surgery where the undescended testicle, or a twisted testicle is fastened to its normal position.

What are the possible Risks and Complications after Testicle Fixation (Orchiopexy) surgical procedure?

The following are the possible risks and complications after a Testicle Fixation surgery:

What are some Alternative Choices for the Procedure?

There is no other effective alternative choice to reposition the testicle.

Who Performs the Procedure?

A general surgeon or an urologist performs the Testicle Fixation surgery.

What kind of Anesthesia is given, during the Procedure?

During the procedure, a spinal anesthesia or a general anesthesia is injected. A general anesthesia is preferred for children.

When should you expect results from the pathologist regarding tissue taken out, during the Procedure?

Since no tissue is removed during the procedure, a pathologist does not get involved in the care of the patient.

What is a testicle torsion?

The testicle torsion is a condition where in the spermatic cord is twisted around the testicle. This is observed in males below the age of 30, usually between the ages 12-14. The Testicle Fixation procedure is performed to cure the conditions described above and to lower the risk of a traumatic injury to the region.

When to treat an undescended testicle?

An undescended testicle needs to be treated surgically — with a procedure called orchiopexy — before your child is 2 years old to increase his chance for fertility later in life.

How long after scrotum surgery can you bathe?

You may give him a bath two days after surgery. Otherwise, he can return to normal activities as he feels up to it. Appearance: the scrotum will look bruised after surgery, but these bruises will fade over three weeks. The incisions may feel lumpy after the surgery; this is the "healing ridge.".

How long does it take for a son's incision to heal after surgery?

The incisions may feel lumpy after the surgery; this is the "healing ridge.". It's normal, and the incision will become smooth over the next six months. Follow-up: please bring your son in for a follow-up appointment two weeks after surgery.

What to do after orchiopexy?

Caring for your child at home. Here's what you need to know after your son has undergone an orchiopexy: Eating: your son may begin drinking and eating when he gets home. Pain control: before surgery, your son will receive a local anesthesia along with the general anesthesia.

What is the piece of tissue that tethers the testicle to the scrotum called?

They’ll then locate the testicle, which tethers to the scrotum by a piece of tissue called the gubernaculum. The surgeon may make small cuts to adjust both the gubernaculum and possibly another piece called the spermatic cord.

When do testicles drop down?

of these cases, a child’s testicles will drop down into their correct position within the scrotum by the third month after birth without requiring treatment. When the testicles don’t descend within the first few months, the condition is known as cryptorchidism.

What is orchiopexy for?

Orchiopexy is performed to correct cryptorchidism, a condition in which one or both testicles haven’t descended into their proper position in the scrotum. If it’s left untreated, cryptorchidism can lead to infertility and can increase the risk of testicular cancer.

Why is it important to correct cryptorchidism in children?

It’s important to correct cryptorchidism in your child in order to minimize the risks. . In such cases, the testicular tissue may not be functional, and it may come with a higher risk of testicular cancer. Therefore, your doctor may recommend the complete removal of undescended testicles. This is called an orchiectomy.

What is the procedure for a child to sleep soundly?

When it’s time for the surgery to start, an anesthesiologist will inject a general anesthetic into the IV line. This ensures that your child will sleep soundly throughout the procedure. Once your child is asleep, the surgeon will make a small cut in the groin.

What activities can cause a scrotum to be strained?

Activities that may put extra strain on the scrotum, such as riding a tricycle or playing on a rocking horse, are especially discouraged. Your child’s doctor will schedule regular follow-up visits to make sure that the testicle is developing and functioning in the scrotum.

Can an orchiopexy be removed?

In rare cases, the surgeon may find that the undescended testicle is abnormal, or that it has died due to a lack of blood supply. This often requires removal of the entire testicle.

What are the side effects of a testicle scrotum surgery?

Because the operation is quite simple, there are also not many side effects. Nausea resulting from the general anesthesia is considered to be quite common in the 24 hours following the operation, and it passes by itself. Additional possible side effects are an infection at the site of the operation; swelling in the scrotum, in the region of the treated testicle; recurrence of the case and need to repeat the testicular fixation surgery. In general, these are very rare effects.

How long after a sex operation can you cycle?

If there is severe pain in the region of the operation, it is recommended not to wear excessively tightly fitting clothes. Additionally, it is recommended to drink plentiful amounts of water during the first few days after the operation. For one month after the operation, cycling should be avoided, and for at least the first two weeks, sexual activity should be avoided.

Can you have testicular fixation surgery at any age?

There are, of course, cases in which testicular fixation surgery is performed at a later age, even in adulthood (as testicular torsion can occur at any age). In all events, this operation is a very quick one, usually does not involve much pain and needs a relatively rapid recovery, depending, of course, on the complexity of the case.

What is the procedure called to reposition testicles?

In this case, a surgical procedure called an orchidopexy will be recommended to reposition one or both testicles.

What is the procedure to remove a testicle from the tummy?

If the testicle is thought to be higher in the tummy (abdomen), a type of keyhole surgery known as a laparoscopy is sometimes carried out to locate it before it's repositioned. This involves passing a laparoscope (a small tube containing a light source and a camera) through a small incision in your child's abdomen.

How successful is the palpable testicles surgery?

The success rate for treating palpable testicles located near the scrotum is estimated to be higher than 90%. The operation is slightly less successful in treating impalpable testicles located in the abdomen.

How to help a child with groin pain after a groin surgery?

Activities such as playing games, watching television and reading together may help to keep his mind off the pain. Encourage your child to drink plenty of fluids. Their groin area may feel sore for a while after the operation.

When do testicles move down?

Undescended testicles will usually move down into the scrotum naturally by the time your child is 3 to 6 months old. If the testicles don't descend by 6 months, it's very unlikely they will without treatment.

Can a child ride a bicycle after a testicle surgery?

Your child should not ride a bicycle or use sit-on toys for a few weeks after the operation. This is to prevent the testicles moving back up into the abdomen. Ask your surgeon for their advice about this.

Is orchidopexy surgery a risk?

As with any type of surgery, an orchidopexy carries the risk of complications, some of which may need to be treated with further surgery.

What is the best treatment for an undescended testicle?

Diagnosis. If your son has an undescended testicle, his doctor might recommend surgery for diagnosis and potential treatment: Laparoscopy. A small tube containing a camera is inserted through a small incision in your son's abdomen. Laparoscopy is done to locate an intra-abdominal testicle.

How to help a son with testicles?

You can help your son by being aware of the development of his body. Check the position of his testicles regularly during diaper changes and baths.

How old do you have to be to have testicle surgery?

Earlier is better, but it's recommended that surgery takes place before the child is 18 months old.

How to teach your son about the scrotum?

Teach your son the right words to use when talking about the scrotum and testicles. Explain that there are usually two testicles in the scrotum. If he's missing one or both, explain what that means and that he's still a healthy boy. Remind him that he's not ill or in danger of illness.

What happens if you don't have testicles after birth?

Some conditions that result in absent testicles can cause serious medical problems soon after birth if left undiagnosed and untreated.

What happens if your son doesn't have both testicles?

If your son doesn't have one or both testicles, he might be sensitive about his appearance. He might have anxieties about looking different from friends or classmates, especially if he has to undress in front of others in a locker room. The following strategies might help him cope:

What to do if your son doesn't have a testicle?

If your son doesn't have at least one healthy testicle, your child's doctor will refer him to a hormone specialist (endocrinologist) to discuss future hormone treatments that would be necessary to bring about puberty and physical maturity.

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1.Undescended Testicle (Orchiopexy) Repair Surgery

Url:https://www.chp.edu/our-services/surgery-pediatric/patient-procedures/undescended-testicle-orchiopexy-repair-surgery

26 hours ago Fast Facts About Undescended Testicle Repair Surgery. This surgery is done to move a young boy’s testicles from his abdomen, or tummy, into the scrotum (SKROT-um), the sac of skin that holds the testicles on the outside of the body. Orchiopexy is an outpatient surgery that will be done at the Same Day Surgery Center at Children’s Hospital in Lawrenceville or at Children’s …

2.Study 42 Terms | male reproductive... Flashcards | Quizlet

Url:https://quizlet.com/86868706/male-reproductive-system-chapter-16-flash-cards/

17 hours ago An undescended testicle needs to be treated surgically — with a procedure called orchiopexy — before your child is 2 years old to increase his chance for fertility later in life. After your son receives general anesthesia, the surgeon will make an incision in his groin area, and locate the undescended testicle, which is usually in the inguinal canal above the scrotum.

3.Undescended Testicle Surgery (Orchiopexy) | Children's …

Url:https://www.chop.edu/treatments/surgery-undescended-testicles-orchiopexy

26 hours ago  · A doctor will likely recommend surgery to correct the placement of the testicle that hasn’t dropped into the scrotum. This procedure is called orchiopexy or orchidopexy.

4.Undescended Testicle Repair Surgery (Orchiopexy)

Url:https://www.healthline.com/health/undescended-testicle-repair

6 hours ago procedure in which the vas deferens on each side is cut, a piece is removed, and the free ends are folded and ligated with sutures. ... surgical fixation of an undescended testicle. vasectomy. two tubes that carry sperm from the testicles are cut and tied off. semen analysis. measurement of the number, shape, and motility of sperm cells ...

5.Male Reproductive System Questions and Study Guide

Url:https://quizlet.com/112442105/male-reproductive-system-flash-cards/

25 hours ago Testicular fixation surgery is a brief and relatively simple operation, which is typically performed in two conditions: in case of testicular torsion (or if this is suspected) and in case of an undescended testicle. During the operation, the testicle is fixed to the scrotum, in order to prevent recurrence of the condition, and no less important, to allow its normal future development.

6.Testicular Fixation | Herzliya Medical Center | Treatment …

Url:https://hmcisrael.com/operation/testicular-fixation/

30 hours ago In most cases, if the testicle can be felt in the groin, a simple orchidopexy can be performed. This involves first making a cut (incision) in the groin to locate the undescended testicle. The testicle is then moved downwards and repositioned in the scrotum through a second incision.

7.Undescended testicles - Treatment - NHS

Url:https://www.nhs.uk/conditions/undescended-testicles/treatment/

14 hours ago  · An undescended testicle is usually corrected with surgery. The surgeon carefully manipulates the testicle into the scrotum and stitches it into place (orchiopexy). This procedure can be done either with a laparoscope or with open surgery.

8.Undescended testicle - Diagnosis and treatment - Mayo …

Url:https://www.mayoclinic.org/diseases-conditions/undescended-testicle/diagnosis-treatment/drc-20352000

21 hours ago An undescended testicle is usually corrected with surgery. The surgeon carefully manipulates the testicle into the scrotum and stitches it into place (orchiopexy). This procedure can be done either with a laparoscope or with open surgery.

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