Dr. Oriol Martín Solé · Information for families

Orchidopexy

Moving and securing an undescended testis in the scrotum.

What is it?

A unilateral example of a testis retained in the inguinal canal, with an empty corresponding hemiscrotum.
Related anatomy

Moving and securing an undescended testis in the scrotum.

Related condition →

When is it needed?

Indicated for persistent undescended testes. Retractile testes do not routinely need surgery, but may need monitoring.

How is it done?

  1. The testis is located; a nonpalpable testis may require laparoscopy.
  2. Necessary attachments are released while protecting its blood supply.
  3. It is secured in the scrotum in one or several stages.

Alternatives

Observation depends on diagnosis and age; it cannot indefinitely replace treatment of persistent undescended testes.

Recovery

Follow wound care advice and temporarily avoid activities causing pressure or blows to the scrotum.

Risks and follow-up

Possible problems and precautions

Possible infection, bruising, re-ascent or atrophy. Sudden pain before or after surgery needs assessment.

Follow-up checks

Position and growth are reviewed. Surgery does not eliminate all future risks associated with undescended testes.

Frequently asked questions

Could two stages be needed?

Yes, particularly for some intra-abdominal testes.

Can an absent testis be recovered?

No; surgery first clarifies whether and where it exists.

Is normal fertility guaranteed?

No; previous testicular development also matters.

More treatments in this area

Further reading

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