Orchiopexy (say "OR-kee-oh-peck-see") is a type of surgery. It fixes a problem called testicle torsion. This happens when a testicle twists and the cord that supplies blood to your testicle also twists. Then blood can no longer flow to the testicle.
To do the surgery, your doctor makes a cut in your scrotum. This cut is called an incision. Then he or she untwists the cord. If the testicle looks healthy, your doctor will attach it to your scrotum with stitches. This will prevent the testicle and cord from twisting again. Your doctor also may attach the other testicle to the scrotum. This can keep it from twisting in the future.
If the testicle looks damaged, your doctor will probably remove it. Your doctor may replace it with a plastic prosthetic one. This keeps the shape of your scrotum close to what it was before the surgery.
In most cases, you will go home the same day. The incision will ooze fluid for 2 or 3 days. You may have some mild to moderate pain for several days. Your scrotum will be swollen for a few weeks.
If a testicle is removed, having only one testicle should not change your ability to get an erection or father a child.
Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse call line if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.
Surgery can be stressful. This information will help you understand what you can expect. And it will help you safely prepare for surgery.
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Current as of: March 20, 2018
Adam Husney MD - Family Medicine & Christopher G. Wood MD, FACS - Urology, Oncology
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