Orchidopexy (Undescended Testicle Surgery)

Orchidopexy (or orchiopexy) brings a testicle that has not reached the scrotum down into it and fixes it there. About 1 boy in 100 still has an undescended testicle at the age of one. The same word describes the fixing of a testicle after twisting (torsion), which is an emergency operation.

Early surgery gives the testicle the cooler environment it needs, which improves its chances of making sperm later, lowers the risk of torsion and injury, allows self-examination in adult life, and partly reduces the raised risk of testicular cancer. Normal fertility is not assured, particularly when both sides are affected or surgery is late, and a very high or poorly formed testicle sometimes cannot be saved.

What Orchidopexy (Undescended Testicle Surgery) involves

Diagnosis is by examination by a paediatric surgeon or urologist. Scans are rarely useful. If the testicle can be felt in the groin, a small incision is made in the groin crease under general anaesthetic with a caudal or local nerve block. The testicle and its cord are freed from surrounding tissue, the accompanying hernia sac is separated and tied off, and enough length is gained to reach the scrotum without tension. Through a second small cut in the scrotum, a pouch is made between the skin and the muscle layer, and the testicle is placed and secured there. If the testicle cannot be felt, a laparoscopy through the navel finds out whether it lies in the abdomen, is absent, or has withered, and surgery proceeds in one or two stages accordingly.

Who is a good candidate for Orchidopexy (Undescended Testicle Surgery)?

Guidelines recommend operating between 6 and 18 months of age.

• Boys whose testicle has not descended by 6 months (corrected for prematurity)
• Testicles that were in the scrotum and have later moved up (ascending testis)
• Retractile testicles that no longer stay down on follow-up
• Older boys and adults with a previously missed undescended testicle, after individual discussion
• Fixation of both sides after an episode of torsion

Es ist normalerweise nicht die richtige Wahl, wenn:

• Babies under 6 months, since many testicles descend on their own
• Truly retractile testicles that can be brought fully into the scrotum and stay there; these need only yearly checks
• Acute testicular pain, which is an emergency to be treated within hours wherever you are, never after a flight
• Hormone treatment as a substitute, which is not recommended because of low success

Technikoptionen

• Open inguinal orchidopexy: For the 80 percent of undescended testicles that can be felt in the groin.
• Single scrotal incision (Bianchi) orchidopexy: For low testicles near the top of the scrotum.
• Diagnostic laparoscopy: First step when the testicle cannot be felt.
• Fowler-Stephens orchidopexy, one or two stages: For high abdominal testicles with short vessels; the main vessels are divided so the testicle survives on a secondary supply. Success is around 80 to 85 percent.
• Orchiectomy: Removal of a small, non-viable remnant, or of an abdominal testicle found after puberty, because of cancer risk.

Was passiert während Ihrer Behandlung

The operation takes 45 to 60 minutes per side under general anaesthetic given by a paediatric anaesthetist. It is a day case. The nerve block keeps your child comfortable for several hours, and most children are playing by the next day.

Vorbereitung auf Ihre Reise

Planen Sie 5 bis 7 Tage in Istanbul. Ihr Chirurg überprüft Fotos und Ihre Krankengeschichte, bevor Sie buchen, und Sie treffen sich persönlich am Tag vor der Operation zur Untersuchung, Markierung und Zustimmung mit einem professionellen Dolmetscher.

• Stoppen Sie das Rauchen und Nikotin mindestens vier Wochen vor und nach der Operation; es ist die größte vermeidbare Ursache von Wundproblemen
• Erzählen Sie dem Team von allen Medikamenten und Ergänzungen, die Sie einnehmen; Blutverdünner, einige Kräuterprodukte und Hormonbehandlungen müssen möglicherweise auf Anraten Ihres Arztes unterbrochen werden
• Vereinbaren Sie, dass jemand mit Ihnen reist oder erreichbar ist, und halten Sie die ersten Tage zu Hause frei von Arbeit und Heben
• Buchen Sie einen veränderlichen Rückflug; Ihr Chirurg bestätigt, wenn Sie fit sind

Genesung und Ergebnisse

Paracetamol and ibuprofen for 2 to 3 days are usually enough. Dressings come off after a few days and stitches dissolve. Avoid straddle toys, bicycles and rough play for 2 to 3 weeks, and swimming for about 10 days. The surgeon checks position and size at 1 to 3 months and again at 6 to 12 months. From puberty onwards, monthly self-examination is advised for life.

• Back to everyday activity: 2 to 3 days, no rough play for 2 to 3 weeks
• When results show: Position confirmed at 1 to 3 months
• How long they last: Permanent in over 95 percent of palpable cases

Sicherheit, Risiken und Revisionspolitik

Success for palpable testicles is above 95 percent. Problems are uncommon but matter when they occur.

• The testicle rising back up, needing a second operation
• Shrinkage (atrophy) of the testicle from a compromised blood supply, in about 1 to 2 percent for groin testicles and more for abdominal ones
• Injury to the vas deferens
• Bruising, swelling, wound infection
• Hernia or hydrocele on that side
• The general risks of anaesthesia in infants, which are lowest in dedicated paediatric units

Jeder schriftliche Vorschlag wird durch Clinic-Y gibt an, was die Klinik abdeckt, wenn eine Korrektur erforderlich ist. Fragen Sie danach, bevor Sie buchen, nicht danach.

Cost of Orchidopexy (Undescended Testicle Surgery) in Türkiye

Clinic-Y does not publish a single price for Orchidopexy (Undescended Testicle Surgery), because the honest figure depends on your case. What moves it:

• One side or both
• Palpable testicle versus laparoscopy and staged surgery
• Paediatric anaesthesia and day-unit care
• Follow-up visits

Senden Sie Ihre Fotos oder Berichte und Sie erhalten geschrieben, All-inclusive Vorschläge von geeigneten Teams, Seite an Seite. Die Überprüfung Ihres Falls ist kostenlos.

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