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Orchidopexy is done to reposition and fix an undescended or abnormally positioned testicle into the scrotum. It helps reduce the risk of infertility and testicular cancer, prevents complications like torsion and hernia, allows proper testicular development, and makes future examination and monitoring easier.
You should see a doctor if a testicle is not visible or palpable in the scrotum in an infant after 6 months of age, or if a child, adolescent, or adult has an undescended or retractile testis. Immediate medical attention is needed for sudden scrotal pain, swelling, or suspected testicular torsion.
Preparation for orchidopexy includes a physical examination and, if needed, ultrasound or blood tests. The child or patient is usually required to fast for a few hours before surgery, and parents or patients receive guidance on medications, anaesthesia, and postoperative care.
Orchidopexy is performed under general anaesthesia by a specialised surgical team. The surgeon makes a small incision in the groin or scrotum, locates the undescended or twisted testicle, and carefully moves it into the scrotum. The testicle is secured in place with dissolvable stitches, any associated hernia is repaired if present, and the incisions are closed and dressed. If the testicle is unhealthy, it may be removed and replaced with a prosthesis.
An orchidopexy procedure usually takes about 1 hour.
An orchiopexy can have the following risks:
Orchidopexy helps improve long-term testicular health by reducing the risk of infertility and allowing easier monitoring for testicular cancer. It lowers the risk of testicular injury by placing the testicle safely in the scrotum and is a safe procedure with minimal complications, usually allowing same-day discharge.
After orchidopexy, mild pain or discomfort is common for a few days to a week, and stitches usually dissolve within two weeks. Temporary tiredness, nausea, or vomiting may occur due to anaesthesia. Most children and adults can return to normal daily activities within 2-3 days, but strenuous activities and sports should be avoided for at least two weeks. Recovery time can vary, so it’s important to follow the healthcare provider’s postoperative care instructions.
Orchiopexy, the surgery for undescended testicles, has a very high success rate, frequently approaching 100% for palpable testes. Some studies show 96-99% success in correctly positioning the testicle in the scrotum, though rates can vary slightly (eg, 89-96%) depending on the technique used and the testicle's initial position.
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Diagnosis & Pre-Surgical Evaluation
Pre-Surgery Preparations
Procedure
Post-Surgical Recovery
Long-Term Follow-Up
Orchidopexy is performed based on the underlying condition and symptoms:
The procedure type is chosen based on the patient’s symptoms and the specific testicular condition.

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