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Orchiopexy For Undescended Testicle(s)
WHAT YOU SHOULD KNOW:
- Orchiopexy (OR-key-oh-pex-ee) is surgery to move one or both of your child's undescended testicles into his scrotum. In males, the testicles are two egg-shaped organs that make male hormones (special body chemicals) and sperm cells. Both testicles are normally found in the scrotum, which is a sac that hangs behind the penis. While a male baby is growing inside his mother's womb, his testicles are inside his abdomen (belly). Just before he is born, his testicles descend (move down) into his scrotum. The testicles normally descend through a tube-like path called the inguinal canal. Each testicle has a spermatic cord that is usually long enough for it to move into the scrotum. The spermatic cord attaches to the testicle and is a tube containing sperm passageways, blood vessels, and nerves.
- Both testicles should already be inside his scrotum at birth or by one year of age. If your child has undescended testicles, one or both of his testicles have not moved into his scrotum. Sometimes one or both testicles may get stuck at the top, middle, or bottom part of the inguinal canal. The inguinal canal starts from inside the belly and ends just above the scrotum. If a testicle is still inside your child's abdomen, it may cause problems when he is older. These include not make enough male hormones or sperm. Having orchiopexy will treat your child's undescended testicles. This helps prevent your child from having damage to his testicles or problems getting his partner pregnant later.
- Keep a current list of your child's medicines: Include the amounts, and when, how, and why they are taken. Bring the list and the medicines in their containers to follow-up visits. Carry your child's medicine list with you in case of an emergency. Throw away old medicine lists. Give vitamins, herbs, or food supplements only as directed.
- Give your child's medicine as directed: Call your child's primary healthcare provider if you think the medicine is not working as expected. Tell him if your child is allergic to any medicine. Ask before you change or stop giving your child his medicines.
- Do not give aspirin to children under 18 years of age: Your child could develop Reye syndrome if he takes aspirin. Reye syndrome can cause life-threatening brain and liver damage. Check your child's medicine labels for aspirin, salicylates, or oil of wintergreen.
- Antibiotics: This medicine is given to fight an infection caused by bacteria. Give your child this medicine exactly as ordered by his primary healthcare provider. Do not stop giving your child the antibiotics unless directed by his primary healthcare provider. Never save antibiotics or give your child leftover antibiotics that were given to him for another illness.
- 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.
Ask for more information about where and when to take your child for follow-up visits:
For continuing care, treatments, or home services for your child, ask for information.Your child may need to come back in 12 months to let his caregiver check his health. Your child may need an ultrasound to let caregivers check the condition of the testicles.
Children usually get better quickly after surgery. Let your child rest and sleep as much as he wants. Your child may return to normal activity when he feels ready. He should not use toys that must be straddled, like a tricycle or toy horse, for two weeks.
You may use ice to decrease your child's pain or swelling. Put some crushed ice in a plastic bag and cover it with a thin towel. Place this over your child's incision or between his legs for 15 to 20 minutes every hour. You may keep on doing this for as long your child needs it. Do not leave the ice for too long because this may damage his skin.
CONTACT A CAREGIVER IF:
- Your child has a fever.
- Your child has chills, a cough, or feels weak and achy.
- Your child has vomiting (throwing up) or is passing less urine than usual.
- Your child is irritable and crying more than usual.
- You have any questions or concerns about your child's condition, surgery, medicine, or care.
SEEK CARE IMMEDIATELY IF:
- Your child's bandage becomes soaked with blood.
- Your child's wound or bandage has pus or a bad smell.
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