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Reasons for Procedure
- Testicle move back up into groin after surgery
- Damage to the testicle
- Reaction to anesthesia
- Injury to surrounding structures
What to Expect
Prior to Procedure
- Physical exam
- Imaging, blood, and urine tests
- Discuss the anesthesia being used and the risks of surgery
- Bring special toys, books, and comfortable clothing for your child.
- Your child will need to avoid eating for a period of time before surgery.
- For children younger 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 to treat pain and prevent infection as directed.
- Minor bleeding is normal. Care for the incisions as directed by the doctor.
- If you child wears a diaper, change it often. Leave it off for short periods to reduce any irritation to the area.
- Follow your doctor's direction for incision care. You may be asked to put an ointment or cream on the incisions.
- Ask your doctor about when it is safe to bathe your child.
- Engage in gentle play. Avoid tiring activities for a few weeks. Your child should avoid sitting on or riding a bicycle for about a week after the surgery.
- Monitor your child for signs of pain. These may include fussiness, trouble moving, sweating, or pale skin.
Call Your Child’s Doctor
- Increasing pressure or pain
- Redness, drainage, puffiness, or soreness around the incision site(s)
- 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
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.
Cryptorchidism. EBSCO DynaMed website. Available at: https://dynamed.ebscohost.com/about/about-us. Updated October 13, 2011. Accessed December 28, 2012.
Orchiopexy. Children’s Hospital and Clinics of Minnesota website. Available at: http://www.childrensmn.org/Manuals/PFS/Surg/018757.pdf . Accessed December 28, 2012.
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 . Accessed December 28, 2012.
Wein AJ. Campbell-Walsh Urology. 9th ed. Philadelphia, PA: Elsevier Saunders; 2007.
- Reviewer: Mike Woods, MD
- Review Date: 12/2012 -
- Update Date: 12/28/2012 -