Type of Surgery
Information
Last updated: 02/17/2009
BOOKS
"Congenital Anomalies: Renal and Genitourinary Defects." Section 19, Chapter 261 in The Merck Manual of Diagnosis and Therapy, edited by Mark H. Beers and Robert Berkow. Whitehouse Station, NJ: Merck Research Laboratories,...
1999.
PERIODICALS
Baker, L. A., et al. "A Multi-Institutional Analysis of Laparoscopic Orchidopexy."BJU International, 87 (April 2001): 484โ489.
Chang, B., L. S. Palmer, and I. Franco. "Laparoscopic Orchidopexy: A Review of a Large Clinical Series."BJU International, 87 (April 2001): 490โ493.
Docimo, S. G., R. I. Silver, and W. Cromie. "The Undescended Testicle: Diagnosis and Management."American Family Physician, 62 (November 1, 2000): 2037โ2044, 2047โ2048.
Dogra, Vikram S., and Hamid Mojibian. "Cryptorchidism."eMedicine, June 21, 2002 [April 4, 2003].
Franco, Israel. "Prune Belly Syndrome."eMedicine, August 24, 2001 [April 4, 2003].
Jawdeh, Bassam Abu, and Samir Akel. "Cryptorchidism: An Update."American University of Beirut Surgery, (Summer 2002) [April 3, 2003].
Nair, S. G., and B. Rajan. "Seminoma Arising in Cryptorchid Testis 25 Years After Orchiopexy: Case Report."American Journal of Clinical Oncology, 25 (June 2002): 287โ288.
Rupp, Timothy J., and Mark Zwanger. "Testicular Torsion."eMedicine, March 25, 2003 [April 4, 2003].
Sessions, A. E., et al. "Testicular Torsion: Direction, Degree, Duration, and Disinformation."Journal of Urology, 169 (February 2003): 663โ665.
Shekarriz, B., and M. L. Stoller. "The Use of Fibrin Sealant in Urology."Journal of Urology, 167 (March 2002): 1218โ1225.
Tsujihata, M., et al. "Laparoscopic Diagnosis and Treatment of Nonpalpable Testis."International Journal of Urology, 8 (December 2001): 692โ696.
ORGANIZATIONS
American Academy of Pediatrics (AAP). 141 Northwest Point Boulevard, Elk Grove Village, IL 60007. (847) 434-4000.
American Board of Urology (ABU). 2216 Ivy Road, Suite 210, Charlottesville, VA 22903. (434) 979-0059.
National Organization for Rare Disorders (NORD). 55 Kenosia Avenue, P. O. Box 1968, Danbury, CT 06813-1968. (203) 744-0100.
Prune Belly Syndrome Network. P. O. Box 2125, Evansville, IN 47728-0125.
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Other Information
Orchiopexy (or orchidopexy) is a surgery to move an undescended testicle into the scrotum and permanently fix it there. It is performed by a pediatric urologist or surgeon on boys with cryptorchidism, typically before they reach the age of two. Some patients remain undiagnosed until their teenage years and undergo the surgery at that time.
The undescended testicle may be located within the normal line of descent (for example, in the inguinal canal) or high in the scrotum or ectopically (i.e. the abdomen). The surgeon may use an endoscope through the umbilicus to locate the testicle, and through other small opening(s) performs the procedure. The higher the testicle, the less successful the procedure. However, the procedure has a high success rate overall.
Orchiopexy can also be performed to resolve a testicular torsion. If caught early enough and the blood supply can be restored to the testicle, this operation can be performed to prevent further occurrence of torsion. If the blood supply has been interrupted for too long, then an orchiectomy must be performed.
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