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 such as breast milk, water, and 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.
- Washing their hands
- Wearing gloves or masks
- Keeping your child's incisions covered
- Washing both you and your child's hands often, and reminding visitors and healthcare providers to do the same
- Reminding your child's healthcare providers to wear gloves or masks
- Not allowing others to touch your child's incision
- Give medications 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 the frequency, odor, appearance, or volume of urine
- Difficulty urinating
- Signs of infection, including fever or chills
- Persistent nausea and/or vomiting
- Abdominal pain
- Lack of energy
- Loss of appetite
Family Doctor—American Academy of Family Physicians http://familydoctor.org
Healthy Children—American Academy of Pediatrics http://www.healthychildren.org
Canadian Pediatric Society http://www.cps.ca
Health Canada http://www.hc-sc.gc.ca
About Kids Health. Orchiopexy: surgery for undescended testicles. About Kids Health website. Available at: http://www.aboutkidshealth.ca/En/HealthAZ/TestsAndTreatments/Procedures/Pages/Orchidopexy-Surgery-for-Undescended-Testicles.aspx. Updated November 10, 2009. Accessed July 23, 2013.
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.
Orchiopexy. Children’s Hospital and Clinics of Minnesota website. Available at: http://www.childrensmn.org/Manuals/PFS/Surg/018757.pdf. Updated March 2009. Accessed July 23, 2013.
Undescended testicles. Children’s Hospital of Pittsburgh website. Available at: http://www.chop.edu/service/surgery-general-thoracic-and-fetal/conditions-we-treat/pediatric-surgery-undescended-testicles.html. Updated November 2008. Accessed July 23, 2013.
6/6/2011 DynaMed's Systematic Literature Surveillance Available at: http://www.ebscohost.com/dynamed: 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: Adrienne Carmack, MD
- Review Date: 05/2014 -
- Update Date: 05/28/2014 -