Orchidopexy in Adults

Indications for orchidopexy

The procedure is performed in the following cases:

• Testicular torsion;

• When the testicle cannot be manually descended into the scrotum;

• Inguinoscrotal hernia;

• Testicular ectopia;

• Testicular incarceration;

• Abnormal testicular position requiring fixation;

• Prevention of infertility and testicular cancer;

• Cryptorchidism in adults.

Contraindications to orchiopexy

As with any surgical procedure, fixation of the testicle in the scrotum may be contraindicated in the following cases:

• Impaired blood clotting;

• Severe systemic diseases;

• Active infections;

• Bilateral abdominal localization of the testicles;

• Intellectual disability;

• Pathologies of the genitourinary system;

• Severe liver, kidney, or heart disease.

How is orchidopexy performed?

Before surgery, the patient should consult with the attending physician. Following the consultation, the patient may need to:

• Undergo an ultrasound examination of the scrotum and groin area;

• Have blood and urine tests;

• Undergo an ECG;

• Consult with a general practitioner and an anesthesiologist.

For one week before surgery, patients are advised to avoid medications that affect blood clotting, smoking, and alcohol consumption. Hair removal in the groin area is also not recommended. Food should not be consumed for 10 hours before surgery.

There are several types of orchidopexy:

• One-stage orchidopexy. The procedure is performed through the groin area. The testicle and spermatic cord are then mobilized, followed by fixation of the testicle in the scrotum and repair of the affected tissues.

• Two-stage orchidopexy. During the first stage, the testicle is fixed to the thigh muscle. During the second stage, 3–6 months later, the testicle is transferred to and fixed in the scrotum.

• Laparoscopic orchidopexy. A minimally invasive technique used for adult cryptorchidism in certain cases. Its advantages include reduced surgical trauma and faster recovery.

Recovery after orchidopexy

Follow all postoperative recommendations provided by your doctor. Patients can generally return to their normal daily activities within 1–2 weeks. Physical activity should be restricted for 4–6 weeks.

It is important to monitor the surgical site, as possible complications may include:

1. Infection;

2. Scrotal hematoma;

3. Testicular atrophy;

4. Recurrence of cryptorchidism;

5. Impaired function of the vas deferens.

Special attention should also be paid to the patient's psychological well-being. In some cases, patients may benefit from psychological support due to changes in the appearance or function of the testicle. A psychologist can help the patient adapt to these changes and maintain emotional well-being.

Where is orchidopexy performed in Tashkent?

At Expert Medical Clinic, our professional doctors and nurses perform surgical procedures of varying complexity. The clinic is equipped with modern medical technology and offers a day hospital and an individualized approach to every patient.