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Sometimes baby boys are born with one or both testicles inside the abdomen or groin, rather than in the scrotum. This is called
undescended testicles. Orchiopexy is a surgery to lower the testicles into the scrotum. The scrotum is the external sac that holds the testicles.
Your child’s doctor and anesthesiologist will do the following:
Examine your child
Do imaging, blood, and urine tests
Discuss the anesthesia being used and the potential risks
Discuss the risks of surgery and answer any questions you have
Talk to the doctor about your child’s medications or any recent illnesses. You may be asked to have your child stop or start certain medications before surgery.
Other things to keep in mind before the procedure include:
Bring special toys, books, and comfortable clothing for your child.
Your child will need to avoid eating for a period of time before surgery. Ask the doctor when your child should stop eating and drinking. For children less than one year, it is often recommended that they do not eat after midnight the night before the surgery. Clear liquids such as breast milk, water, and clear juices may be allowed up to two hours before the procedure.
will be used. Your child will be asleep during the surgery. He will not feel any pain.
After your child is asleep, the doctor will make a small incision in one or both sides of the groin. The testicle is located and examined. If there is a
present, the doctor will also repair this.
Next, the doctor will create a pouch in the scrotum. The testicle will be pulled down into this new pouch. Stitches will hold the testicles in place. The stitches will dissolve on their own. All other incisions will be closed with stitches.
In some cases, a small button will be placed on the outside of the scrotum and secured with a suture. This will hold the testicle down until healing occurs. The button will be removed by cutting the suture a few weeks after the procedure.
In most cases, your child can go home on the same day as the surgery.
About Kids Health. Orchiopexy: surgery for undescended testicles. About Kids Health website. Available at: ...(Click grey area to select URL) Updated November 10, 2009. Accessed July 23, 2013.
Elyas R, Guerra LA, Pike J, et al. Is staging beneficial for Fowler-Stephens orchiopexy? A systematic review.
J Urol. 2010;183(5):2012-2018.
Orchiopexy. Children’s Hospital and Clinics of Minnesota website. Available at: ...(Click grey area to select URL) Updated March 2009. Accessed July 23, 2013.
Undescended testicles. Children’s Hospital of Pittsburgh website. Available at: ...(Click grey area to select URL) Updated November 2008. Accessed July 23, 2013.
6/6/2011 DynaMed's Systematic Literature Surveillance Available at: ...(Click grey area to select URL) Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
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