Advanced
Orchidopexy
Surgery in Hyderabad

Orchidopexy: Pre-Op & Post-Op Care

Pre-operative Care for Orchidopexy

The first phase of any surgery is to make sure that the patient is ready for the safe conduct of the procedure.

An initial consultation is when a pediatric urologist or pediatric surgeon performs a physical evaluation, analyzes the patient’s history, and has a discussion that potentially includes the risks and benefits. In infants, an advanced imaging technique may be used to locate the undescended testicle.

Informed consent is when the surgeon and family sign a consent form, confirming that they have understood the procedure and have provided approval for it.

Fasting instructions are given to patients before surgery to reduce problems due to anesthesia, namely, no solid food for 8 hours, no formula or cow’s milk for 6 hours before, no breast milk for 4 hours, and no liquids, including water, for 2 hours.

Taking medicines needs to be managed, with blood thinners like aspirin that may have to be stopped for a short period of time.

Maintenance of Hygiene involves the patient being bathed with an antibacterial soap the day before and on the morning of surgery.

An anesthesiologist meets with the family of the infant patient, and prepares a plan that includes a claudal nerve block for extended relief postoperatively.

Providing emotional support is also essential for infants to help reduce anxiety.

Intra-Operative Care

The concerned surgical team conducts the surgery while keeping track of the patient’s vitals. General anesthesia is administered to the patient to make the patient pain-free.

The surgical team then keeps track of the patient based on the location of the testicle. Open orchidopexy in case of palpable testicle, and laparoscopic orchidopexy in case of non-palpable testicle. A small cut is then made in the scrotum to create a dartos pouch below the skin.

The testicle is then brought into the pouch and secured with stitches. The incisions are then covered with dissolving sutures or surgical glue and then covered with a dressing.

Post-operative care for Orchidopexy treatment

This is a phase that is concerned with the management of pain, treatment of wounds, and recovery.

The recovery room involves a patient being shifted to the recovery unit until waking up from anesthesia, while healthcare professionals continue to monitor the vitals.

Pain is managed by using medicines like acetaminophen and ibuprofen. In children, the prescribed main medicine is used in combination with codeine, as over-the-counter medications are insufficient. Thai medicines should be given regularly, along with the use of ice packs for 10-20 minutes at a time to reduce the swelling.

Wound care involves keeping the site of incision clean and dry. A pediatric surgeon provides guidelines on bathing and showering, which are usually avoided for several days. Dressings should be waterproof and should peel off on their own after a week or two of the surgery.

swelling, bruising, and a pinkish appearance of the incision are normal, along with a small dimple on the scrotum that usually settles down by itself within a few days.

Activity restrictions include rest for 1-2 days; light walking can be restarted after this. Adult patients should avoid contact sports or heavy lifting for at least 4-6 weeks. The diet should involve starting with clear liquids, and then the normal diet should be started, with oily foods being a strict no.

Follow-up care involves fixing an appointment with the surgeon to ensure proper healing.

A doctor should be immediately called upon if the fever is above 101.5° F, unbearable pain, not manageable by pain medications, Heavy bleeding, pus, or foul odour from incisions, Significant increase in redness or swelling.

Benefits of Orchidopexy at Yashoda Hospitals

• Decreases the risk of infertility
• Lowers the risk of testicular cancer
• Prevents testicular torsion
• Corrects the associated hernia with an undescended testicle
• Protection from injury
• Psychological benefits include high self-esteem
• Cosmetic appearance is also improved.
• Allows easier monitoring of cancer
• Increases hormonal function
• Supports normal sexual development
• Improves overall quality of life