Orchiopexy Surgery

Orchiopexy: Surgical Treatment for Undescended Testicle

What is Orchiopexy?

Orchiopexy is a surgical procedure performed to move an undescended testicle into the scrotum. It is also used to correct testicular torsion. The surgery is commonly performed by pediatric urologists or pediatric surgeons, usually when the child is between 6 to 18 months old. Completing the procedure early helps in reducing the risk of future complications like infertility and testicular cancer.

Duration: Typically completed in under one hour.
Risks: Bruising, infection, healing complications.

Why Is Orchiopexy Done?

To relocate the testicle into the scrotum.
To maintain a lower temperature favorable for future sperm production.
To reduce the risk of testicular cancer.
To improve physical appearance and prevent complications like inguinal hernias.

Diagnostic Procedures Before Orchiopexy

To determine the presence, location, and health of the testicles, doctors may perform:

Medical History and Physical Examination
Ultrasound or MRI (Imaging Tests)
Hormonal Testing
Laparoscopy – especially if the testicle is not palpable.

How is the Orchiopexy Procedure Done?

Conducted under general anesthesia.
Performed through a small incision in the groin, scrotum, or both.
If the testicle is damaged or necrotic, it will be removed.
If present, any inguinal hernia is also repaired.
Follow-up includes:
- Physical examinations
- Ultrasound imaging
- Hormonal level checks

Success Rate: Nearly 100% for single undescended testicles.
Note: Fertility outcomes are better with one undescended testicle than two.

Post-Surgery Recovery

Children are usually discharged the same day.
Sutures dissolve on their own in 2–3 weeks.
Incision may leak fluid for a few days.
Full recovery typically within two to three weeks.

Post-Surgery Restrictions

No contact sports, bicycle riding, or rough play for 2–3 weeks.
Avoid walkers, rocking horses, bouncing chairs, and straddle toys for young children.

Frequently Asked Questions (FAQs)

Q: Orchiopexy: Is It a Serious Procedure?

A: No. It is generally an outpatient surgery with minimal risks and does not require an overnight hospital stay.

Q: What Is the Duration of Healing for an Orchiopexy?

A: Most children heal within 2–3 weeks. Sutures usually dissolve naturally, and mild fluid drainage may occur for a few days.

Q: What Is the Age Range for Undescended Testicle Surgery?

A: Ideally between 6 and 18 months. Early intervention reduces the risk of complications.

Q: What Limitations Exist Following Orchiopexy?

A: Avoid trauma to the surgical area, including rough play, contact sports, straddle toys, and strenuous activities for at least 2–3 weeks.