Orchiopexy -- Open Surgery
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Reasons for Procedure
- Testicle moves back up into groin again after surgery
- Damage to the testicle
- Reaction to anesthesia
- Injury to surrounding structures
What to Expect
Prior to Procedure
- 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
- 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 (eg, breast milk, water, clear juices) may be allowed up to two hours before the procedure.
Description of the Procedure
How Long Will It Take?
How Much Will It Hurt?
- Your child will be monitored while he recovers from the anesthesia.
- The nurse will give pain medicine as needed.
- Give medicines as directed to treat pain and prevent infection.
- Minor bleeding is normal. Care for the incisions as directed.
- Change your child’s diaper often. Leave it off for short periods to allow air at the incision sites.
- Ask your doctor about when it is safe to bathe your child.
- Engage in gentle play. Avoid tiring activities for a few weeks. Sitting on or riding a bicycle should be avoided for about a week after the surgery.
- Monitor your child for signs of pain. Examples include fussiness, trouble moving, sweating, and pale skin.
- Be sure to follow the doctor’s instructions.
Call Your Child’s Doctor
- Increasing pressure or pain
- Redness, drainage, puffiness, or soreness around the incision site
- Changes in frequency, odor, appearance, or volume of urine
- Difficulty urinating
- Signs of infection, including fever or chills
- Abdominal pain
- Lack of energy
- Loss of appetite
American Academy of Pediatrics http://www.aap.org/
American Family Physician http://www.aafp.org/afp/
Canadian Pediatrics Society http://www.cps.ca/
Health Canada http://www.hc-sc.gc.ca/index-eng.php
About Kids Health. Orchiopexy: surgery for undescended testicles. About Kids Health website. Available at: http://www.aboutkidshealth.ca/healthaz/Orchidopexy-Surgery-for-Undescended-Testicles.aspx?articleID=10179&categoryID=AZ1k . Updated July 31, 2009. Accessed August 16, 2010.
Campbell M, Wein A, Kavoussi L. Campbell-Walsh Urology . 9th ed. Philadelphia, PA: WB Saunders; chap 127.
Children’s Hospital and Clinics of Minnesota. Orchiopexy. Children’s Hospital and Clinics of Minnesota website. Available at: http://www.childrensmn.org/Manuals/PFS/Surg/018757.pdf . Updated March 2009. Accessed August 16, 2010.
Children’s Hospital of Pittsburgh. Undescended testicle orchiopexy repair surgery. Children’s Hospital of Pittsburgh website. Available at: http://www.chp.edu/cs/Satellite?c=eHA%5FContent%5FC&cid=1209404825839&pagename=CHP/eHA%5FContent%5FC/CHP/Template/CHP%5FLayout%5F04%5FContent%5FPage%5FTemplate . Updated April 7, 2010. Accessed August 16, 2010.
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.
Smith N, Carmack A. Undescended testes. EBSCO Patient Education Reference Center website. Available at: http://www.ebscohost.com/thisTopic.php?marketID=16&topicID=1034 . Updated July 1, 2010. Accessed August 16, 2010.
6/6/2011 DynaMed's Systematic Literature Surveillance DynaMed's Systematic Literature Surveillance : 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.
- Reviewer: Marcin Chwistek, MD
- Review Date: 09/2012 -
- Update Date: 00/92/2012 -