Orchiopexy For Undescended Testicle(s)

WHAT YOU SHOULD KNOW:

Orchiopexy is surgery to move one or both of your child's undescended testicles from his lower abdomen into his scrotum.

CARE AGREEMENT:

You have the right to help plan your child's care. Learn about your child's health condition and how it may be treated. Discuss treatment options with your child's caregivers to decide what care you want for your child.

RISKS:

  • Your child may bleed more than usual during surgery or get an infection later. His scrotum may swell and be painful for several days after his surgery. He may be bruised at his incisions or in his scrotum. His testicle may move back up again later and he may need another surgery. Blood vessels that carry blood to the testicle may be cut or damaged during surgery. This can cause your child's testicle to shrink. This could affect his ability to have children later in life.

  • Without surgery, he may not be able to have children later in life. His is also at an increased risk for testicular torsion if his testicles are not in his scrotum. Testicular torsion is a condition in which the testicle and spermatic cord get twisted. This pinches blood vessels and nerves, which causes pain and may damage the testicle. He may also have an increased risk of testicular cancer.

WHILE YOU ARE HERE:

Before your child's surgery:

  • Informed consent is a legal document that explains the tests, treatments, or procedures that your child may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your child's medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done to your child. Make sure all of your questions are answered.

  • Emotional support: Stay with your child for comfort and support as often as possible while he is in the hospital. Ask another family member or someone close to the family to stay with your child when you cannot be there. Bring items from home that will comfort your child, such as a favorite blanket or toy.

  • An IV is a small tube placed in your child's vein that is used to give him medicine or liquids.

  • Preoperative care: Medicine may be given to help your child relax. Your child will be taken to the room where the procedure or surgery will be done.

  • General anesthesia will keep your child asleep and free from pain during surgery. Anesthesia may be given through your child's IV. He may instead breathe it in through a mask or a tube placed down his throat. The tube may cause your child to have a sore throat when he wakes up.

  • Vital signs: Caregivers will check your child's blood pressure, heart rate, breathing rate, and temperature. They will also ask you or your child about his pain. These vital signs give caregivers information about your child's current health.

During your child's surgery:

  • Your child may be given anesthesia medicine to make him drowsy or fall asleep. Caregivers may use a laparoscope to see the undescended testicle and do the surgery. A laparoscope is a long thin tool with a light and video camera at the end. Caregivers will make an incision on your child's groin near the inguinal canal. This is the space where the testicles would normally descend from the abdomen to the scrotum. They may also make an incision at the upper part of your child's scrotum.

  • Caregivers will move tissues aside while they find the undescended testicle. Caregivers will cut any tissues attached to the testicle and spermatic cord to let them move freely. The spermatic cord supports the testicle and connects it to the other organs in the reproductive system. Caregivers will widen the inguinal canal and prepare a pouch in the scrotum. Caregivers will pull the testicle through the canal and put it in the pouch. If the spermatic cord is too short, another surgery may be needed to move the testicle farther down. Caregivers may use stitches to hold the testicle in place so that it will not get twisted. The incisions will be closed with stitches or surgical tape and covered with bandages.

After your child's surgery:

Your child may be taken to a recovery room until he is fully awake. Caregivers will watch him closely for any problems. When caregivers see that your child is okay, he will leave the recovery room. Depending on his condition and type of surgery, he may be taken to his hospital room or allowed to go home. The bandages that cover his stitches will keep the area clean and dry to prevent infection. A caregiver may remove the bandages soon after your child's surgery to check his abdominal area.

  • Rest: Let your child rest and sleep as much as he wants.

  • Ice: Caregivers may instruct you to apply ice to your child's incisions to decrease his pain and swelling.

  • Medicines:

    • Antibiotics: This medicine is given to help prevent or treat an infection caused by bacteria.

    • Pain medicine: Your child may need medicine to take away or decrease pain. Know how often your child should get the medicine and how much. Watch for signs of pain in your child. Tell caregivers if his pain continues or gets worse. To prevent falls, stay with your child to help him get out of bed.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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