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Pediatric Urology Group

The physicians and staff of the Pediatric Urology Group evaluate and treat your child’s pediatric urological condition with the expertise of a skilled professional and the compassion of a caring parent.

Orchiopexy

Definition/Overview

The testicles develop before birth in the abdominal cavity. Normally, they will descend into the scrotum before birth. Undescended testicles occur when one or both of the testicles fail to move into the scrotum prior to birth.

This condition is fairly common in premature infants, and occurs in 3-4% of full term infants. Most testicles will descend by about 9 months of age. The surgical procedure to correct undescended testicles is called orchiopexy.

Procedure

Orchiopexy requires general anesthesia, but the patient can almost always go home the same day. An incision about an inch long is made in the groin area, and the testicle is separated from all surrounding tissues so that it descends easily into the scrotum where it is stitched into place. In some cases, this may take more than one operation depending on how high the testicles are in the cavity.

Some patients may be candidates for minimally invasive surgery, which uses several tiny incisions — one for a laparoscope that enables the surgeon to visualize his work with fiber optic light and a video camera; the remaining incisions are for instruments used in completing the operation.

After the procedure, the testicle will usually develop to a normal size in the scrotum, and the chance of fathering children remains high. In some cases, the testicle may be abnormal from the start and may not grow properly, or may not develop sperm. It is recommended that these children have regular physical examinations and perform monthly testicular self-examinations as they get older.

Disclaimer: The information contained in this site is for informational purposes only. It does not take the place of, nor is it intended to be, a substitute for individual medical advice, diagnosis or treatment from your physician. All procedures carry the risk of complications — your healthcare provider can provide details regarding your individual situation.