Orchidectomy

Orchidectomy

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Minimum Cost
23,100
Average Cost
54,862
Maximum Cost
86,625
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What is Orchidopexy Surgery?

Orchidopexy, also known as orchiopexy, is a surgical procedure mainly used to correct cryptorchidism, in which one or both testes do not descend into the scrotum before birth. This surgery is typically performed on infants or young boys and is important to ensure normal sexual development and fertility in the future. Orchidopexy can also be used in adults to treat testicular torsion, a painful condition that occurs when the spermatic cord, which provides blood flow to the testicle, is twisted. During the orchidopexy surgery, a small incision is made in the groin area, and the undescended testicle is guided down into the scrotum. The testicle is then secured in the appropriate position within the scrotum to prevent it from retracting back into the groin. This procedure minimizes the risk of future complications, such as infertility and testicular cancer, and helps correct physical appearance and relieve associated discomfort or embarrassment.

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Types of Orchidopexy Procedure

  • Open Orchidopexy

    Open orchidopexy is the most common type of orchidopexy procedure. It involves a small incision in the groin or scrotum area to manually guide the undescended testicle into the scrotum and secure it in place. This procedure is typically performed under general anesthesia and can be carried out as an outpatient procedure. The success rate of open orchidopexy is generally very high, with most patients experiencing a successful descent of the testicle and minimal postoperative complications.

  • Laparoscopic Orchidopexy

    Laparoscopic orchidopexy is a minimally invasive procedure that uses a laparoscope - a thin, flexible tube with a light and a camera at the end - to perform the surgery. This procedure is particularly useful when the location of the undescended testicle is unclear. The laparoscope is advanced via a small incision in the abdomen, letting the surgeon visualize the internal structures and guide the testicle into the scrotum. This procedure often results in less postoperative pain and a quicker recovery time than open orchidopexy.

  • Fowler-Stephens Orchidopexy

    The Fowler-Stephens orchidopexy is a two-stage procedure used for testicles that are located high in the abdomen, which cannot be brought down in one procedure. In the first stage, the blood supply to the testicle is surgically divided to allow the testicle to develop a new blood supply from the surrounding tissues. After a period of about six months, a second procedure is performed to move the testicle into the scrotum. Despite being more complex, this procedure has a high success rate, particularly for high-lying undescended testicles.

  • When is Orchidopexy Operation Required?

  • An Orchidopexy operation is a surgical procedure often required for the treatment of a condition known as cryptorchidism. Cryptorchidism, or undescended testis, is a condition where either one or both the testes do not descend into the scrotum before birth. It is most common in premature babies.

  • Orchidopexy is also required in cases of testicular torsion. This is a serious condition that involves the twisting of the spermatic cord, which can cut off the blood supply to the testicle. If not treated on time, it can lead to the loss of the affected testicle. In such cases, an emergency orchidopexy is performed to untangle the spermatic cord and restore normal blood flow.

  • Orchidopexy is also required for the treatment of retractile testis. A retractile testis is one that moves back and forth between the groin and scrotum; this can lead to complications if not addressed.

  • How to Prepare for Orchidopexy Surgery?

  • Your doctor will give instructions on how to prepare for orchidopexy surgery. This usually includes fasting for a certain period before the surgery. This is to ensure that the stomach is empty to reduce the risk of aspiration during anesthesia.

  • It may also be necessary to stop taking certain medications before the surgery. This includes medications that can increase the risk of bleeding, such as aspirin or warfarin. Your doctor will give specific instructions as per your medical history and the medications you are currently taking.

  • It is important to discuss any allergies you have with your doctor, as well as any previous reactions to anesthesia. This will help ensure that the anesthesia used during the surgery is safe for you.

  • On the day of the surgery, it is recommended to wear loose, comfortable clothing. You may need to ask a friend or relative to accompany you home after the surgery as you may be groggy or experience discomfort after the procedure.

  • Finally, it is important to follow all post-operative care instructions provided by your doctor, including taking any prescribed medications, following dietary restrictions, and attending all follow-up appointments. This will ensure smooth recovery and minimize the risk of complications.

  • What Happens Before Orchidopexy Surgery?

  • Before the orchidopexy surgery, the patient will undergo a comprehensive physical examination, and the surgeon will discuss the procedure in detail. This is an essential step to assess the patient's health and to identify any potential risks or complications that may affect the surgery.

  • Patients are typically advised to refrain from eating or drinking for several hours before the surgery. This is done to minimize the risk of aspiration, which is when stomach contents are inhaled into the lungs, a potential complication of general anesthesia.

  • Patients are also advised to temporarily stop blood thinners before the surgery. This is done to reduce the risk of excessive bleeding during the operation.

  • The doctor may prescribe blood tests and imaging studies to get a clearer picture of the patient's health. These tests can help the doctor better plan for the surgery.

  • What Happens During Orchidopexy Operation?

  • During the orchidopexy operation, the patient is put under general anesthesia. This means the patient is unconscious and does not feel any pain. The procedure usually takes about one to two hours.

  • The surgeon makes a small incision in the groin area. Through this incision, the surgeon carefully manipulates the testicle down into the scrotum. The testicle is then stitched into place to prevent it from moving back up into the groin.

  • If the testicle is not able to be moved into the scrotum due to its size or position, the surgeon may perform a two-stage procedure. In the first stage, a device called a Fowler-Stephens orchiopexy is used to disconnect the blood supply to the testicle. After several months, a second surgery is performed to move the testicle into the scrotum.

  • In some cases, if the testicle is found to be abnormal or nonviable during the operation, it may be removed. This is done to prevent potential complications, such as testicular cancer.

  • Overall, an orchidopexy operation is a commonly performed procedure with a high success rate. However, like all surgeries, it carries some risks and potential complications. Therefore, it is important for patients to fully understand the procedure and follow all preoperative and postoperative instructions provided by their healthcare provider.

  • Methods/Techniques used for performing Orchidopexy Procedure

  • Open Orchidopexy:

    This is the most common method of orchidopexy. A small incision is made in the groin area, and the testicle is located and brought down into the scrotum. The testicle is then secured in place with stitches.

  • Laparoscopic Orchidopexy:

    This is a minimally invasive technique. A small camera is inserted through a small cut in the abdomen to locate the testicle. Once the testicle is located, it is brought down into the scrotum through another small incision and secured in place.

  • Two-Stage Orchidopexy:

    This technique is usually used when the testicle is located high in the abdomen. The first stage involves moving the testicle as close to the scrotum as possible. After a few months, a second procedure is performed to move the testicle into the scrotum and secure it in place.

  • Post Procedure Details

  • Pain Management:

    After the surgery, your child might feel some discomfort. Over-the-counter pain relievers or prescription medication can be used to manage the pain.

  • Recovery Period:

    Generally, the child can return to normal activities within a week. However, strenuous activities should be avoided for a few weeks.

  • Follow-up Visits:

    Regular follow-up is vital to ensure the testicle remains in the correct position and is growing properly. The doctor might also monitor the child for potential complications.

  • Risks and Complications associated with Orchidopexy Surgery

  • Bleeding and Infection:

    With any surgical procedure, there is a risk of bleeding and infection. However, these risks are minimal and can be managed with proper care and medication.

  • Testicular Damage:

    There is a slight risk of damage to the testicle or blood vessels during the surgery. This can lead to shrinkage of the testicle or, in rare cases, loss of the testicle.

  • Re-ascension of the Testicle:

    In some cases, the testicle might move back up into the groin or abdomen. If this happens, a second surgery might be necessary.

  • Anesthesia Risks:

    There are risks associated with anesthesia, including allergic reactions or breathing problems. However, these risks are typically very low.

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    DisclaimerThe cost of orchidectomy depends on the following factors: the city, the hospital that is selected, the complexity of the procedure and the room chosen by the patient. The price range mentioned here is an approximation of the surgery cost; Bajaj Finserv Health does not claim that these prices are an exact estimate. For exact information about surgery charges, it is best inquire at the selected hospital.