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Orchiopexy For Undescended Testicle
WHAT YOU NEED TO KNOW:
Orchiopexy is surgery to move one or both of your child's undescended testicles from his lower abdomen into his scrotum.
HOW TO PREPARE:
The week before your child's surgery:
- Your child may need blood or urine tests. He may also need an ultrasound, CT, or MRI. Ask your child's healthcare provider for more information about these tests. Write down the date, time, and location of each test.
- Write down the date, time, and location of your child's surgery.
The night before your child's surgery:
- Ask healthcare providers about directions for eating and drinking.
The day of your child's surgery:
- Ask your child's healthcare provider before you give your child any medicine on the day of his surgery. Bring all the medicines your child is taking, including the pill bottles, to the hospital.
- An anesthesiologist may talk to you before your child's surgery. He may give your child medicine to make him sleepy before the surgery.
- You or a close family member will be asked to sign a legal paper (consent form). It gives your child's healthcare provider permission to do the surgery. It also explains the problems that may happen and your choices for treatment. Be sure all your questions have been answered before you sign this form.
WHAT WILL HAPPEN:
What will happen:
- Your child may be given anesthesia medicine to make him drowsy or fall asleep. Healthcare providers 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. Healthcare providers 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.
- Healthcare providers will move tissues aside while they find the undescended testicle. Healthcare providers 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. Healthcare providers will widen the inguinal canal and prepare a pouch in the scrotum. Healthcare providers 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. Healthcare providers 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 stay in a recovery room until he is fully awake. Healthcare providers will watch your child closely for any problems. When healthcare providers 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. A healthcare provider may remove the bandages soon after your child's surgery to check his wounds.
CONTACT YOUR HEALTHCARE PROVIDER IF:
- You cannot make it to your child's appointment on time.
- Your child is irritable or fussy.
- You have questions or concerns about your child's surgery.
- 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.
Care AgreementYou 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 healthcare providers to decide what care you want for your child.
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