Orchidopexy (bringing down of an undescended testis)

What is this?

This involves incisions in the groin and in the scrotum to bring the testis down into the correct position within the scrotum

What alternatives are there?

Observation risks the development of cancer in the undescended testis, twisting of the testis in the groin, psychological problems (in children)

What to expect before procedure

You will usually be admitted on the same day as your surgery. You will normally receive an appointment for pre-assessment, approximately 14 days before your admission, to assess your general fitness, to screen for the carriage of MRSA and to perform some baseline investigations. After admission, you will be seen by members of the medical team which may include the Consultant, Specialist Registrar, House Officer and your named nurse. You will be asked not to eat or drink for 6 hours before surgery and, immediately before the operation, you may be given a pre-medication by the anaesthetist which will make you dry-mouthed and pleasantly sleepy.

What happens during the procedure?

Normally, a full general anaesthetic will be used and you will be asleep throughout the procedure. A small incision is made in the groin to locate the testis and free its attachments so that it can be brought down into the scrotum. There is usually a small hernia in the groin associated with the testis which needs to be tied off. A second incision is then made in the scrotum to receive the testis where it is anchored to prevent twisting and further retraction.

After the procedure

You may experience discomfort for a few days after the procedure but painkillers will be given to you to take home. Absorbable stitches are normally used which do not require removal. The average hospital stay is 1 day.

Potential side effects