Orchidopexy

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Orchidopexy (from Gr. Orchis " testicles " and Pexie "tacking", "sewing on") is the operative fixation of the testicle in the scrotum ( scrotum ) in surgery .

In an orchidopexy, which is preferably carried out under general anesthesia , the surgeon exposes the testicle in order to then sew it to the scrotum by the layers of skin surrounding it. The procedure usually takes 20 minutes and the patient can go home the same or the next day if necessary.

Orchidopexy may be necessary for two reasons:

  • Maldescensus testis : This is a failure of the testicle to slide down into the scrotum during the development of the fetus / infant. The operation is carried out in two steps: first, orchidolysis takes place, i.e. mobilization of the testicle to lower the testicle into the scrotum. Then the testicle is fixed in the scrotum using orchidopexy to prevent the testicle from moving up again.
  • Testicular torsion : It can happen that the testicle rotates in the scrotum, thereby pinching off the supplying and draining blood vessels . After such an episode, an orchidopexy (on both sides) is also performed to prevent repeated turning. Orchidopexy can be performed on men, whose testicles often twist even partially, to prevent complete torsion.