Orchidopexy

Orchiopexy is a surgical procedure to move and fix an undescended testicle into the scrotum and to resolve testicular torsion. This involves first making an incision in the groin to locate the undescended testicle. The testicle is then moved downwards and permanently fixed in the scrotum through a second incision.

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How to treat an undescended testis in an 11-year-old boy?

Query: Hello doctor, My son is 11 years old. He had undescended testis. The doctors found it diminishing, and they removed it through surgery. The other testis is still undescended. It is very small in size, and as per doctor the cord attached to it is small and hence cannot be brought down. Kindly advise.  Read Full »


Dr. Choudhary Devendra

Answer: Hi, Welcome to icliniq.com. The child had undergone orchidectomy for 4 to 5 mm atrophic testis which is too small to have a function. Only preoperative imaging studies to document the size of palpable inguinal mass or testes is not available. The other testis needs to be brought into the scrotum a...  Read Full »

What are the side effects of orchidopexy?

Query: Hello doctor, I am a 19-year-old medical student. This year, I lost my right testis to testicular torsion, resulting from late diagnosis. As a precautionary measure, a contralateral orchidopexy was also done. This involving a part so intimately connected to me shattered me a lot and I am recoveri...  Read Full »


Dr. Shahil Khant

Answer: Hello, Welcome to icliniq.com. First of all, relax and do not worry at all. We had done orchidectomy due to torsion in many patients. They are absolutely fine and doing well physically as well as mentally. Having one testis remaining is perfectly fine. You will have no problem regarding sperm pr...  Read Full »

Is surgery required for retractile testicles?

Query: Hi doctor, My son is 3 years old and has retractile testicles. Is surgery generally required for this condition?  Read Full »


Dr. Faisal Abdul Karim Malim

Answer: Hi, Welcome to icliniq.com. For retractile testis, we can wait up to the age of 8 years. Usually, the testis descends by that age. If there are no complications and it is a proper retractile testis and not an undescended testis, then you can wait till the above age. However, continuous monitoring...  Read Full »

Is orchiectomy necessary for testis torsion?

Query: Hi doctor, I am in need of your help. I had torsion in the left testis; however, it cannot be treated within the time. Now, 12-15 days has already passed. The doctor has suggested for orchiectomy (removal of the left testis) and fixing of right testis. Is orchiectomy necessary? What are the other th...  Read Full »


Dr. Choudhary Devendra

Answer: Hi, Welcome to icliniq.com. The need of orchidectomy can be discussed, but the need of right side fixation that is, orchidopexy is compulsory to avoid mishap on the other side also. One testis is enough for sexual characters and to bear a child. In the same sitting, both testes can be evaluated. I...  Read Full »

I was suggested orchidopexy for testicular torsion. Is there any alternative to this?

Query: Hello doctor,I am a 25 year old male who was recently diagnosed with bell clapper deformity and intermittent testicular torsion. We are unsure if it was onset by trauma or supplement use. The current recommendation given to me by the doctors is to perform an Orchiopexy as a preventative measure for ...  Read Full »


Dr. Saurabh Subhash Pandya

Answer: Hello, Welcome to icliniq.com. Bell Clapper deformity is congenital (since birth) but may have been noticed only now. In this, the testis is suspended at an abnormal angle and is more prone to torsion. The muscle around the testicles is oriented in an oblique manner and so when it contracts during...  Read Full »

My left testis has become very small after an episode of pain and swelling. What to do?

Query: Hi doctor, I am a 24 year old male. Two years back, all of a sudden, I felt a severe pain in my left scrotum, which became more and more severe. Then my left testis was hard, and I also think it became a little bigger in size. The size of the left testis has become very small gradually over the pas...  Read Full »


Dr. Choudhary Devendra

Answer: Hello, Welcome to icliniq.com. It is good that you have sought advice at least now. The episode you described was left side torsion of the testis because of which your left testis is destroyed. A single testis is enough to support secondary sexual characters and fertility to father a child, but you ...  Read Full »

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