Orchidopexy

An orchidopexy is an operation to lower the testicles into the scrotum. Your son may need to have this operation on one or both testicles.

The doctor will perform a physical examination of your child to determine where the testicles are positioned. Sometimes it may be necessary to have a scan called an ultrasound scan or In cases of impalpable or intra abdominal testis, it may be necessary to do an MRI scan or laparoscopic (keyhole) exploration of the abdomen.

A small incision will be made in the groin area over the testicle. The doctor will locate the testicle and bring it down into its proper place in the scrotum. A second incision will be made in the scrotum. Tiny sutures or stitches that dissolve on their own will be placed under the skin to make sure that the testicle does not pull back up and out of the scrotum. The incision will be covered by a simple dressing that you will be told when and how to change. When the incision is fully healed, most children have only a small scar from the surgery. The surgery will take about 1 hour. You may experience discomfort for a few days after the procedure but painkillers will be given to you to take home. Absorbable stitches are normally used which do not require removal.

The doctor will check blood pressure,pulse and wound routinely. A drip maybe present to ensure adequate fluid intake is maintained until your boy is drinking normally. He can usually eat and drink when he returns to the ward. Once recovered from the anaesthetic your boy will be allowed to be up and about. However he may be a bit wobbly on his feet if he had a caudal anaesthetic so careful supervision will be needed. Pain relief is given on a regular basis to ensure comfort is maintained. At all times, the nurse is there to help, please ring the bell if assistance is needed and the nurse is not nearby.

There is often some swelling and even some redness around the wound. These usually settle in three or four days. Bleeding is very rarely a problem and gets settled with some extra pressure on the wound area. Extremely rarely, another operation may be needed to stop the bleeding. Infection in the wound area is a rare problem and settles down with antibiotics in a week or two. The same is true for some swelling of the testicle, which happens rarely and is usually settled by taking antibiotics for a week or two. Sometimes the stitches take a month or more to drop out of the wound. This happens and you and your child should not worry about it.

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