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Can orchiopexy affect fertility?

Can orchiopexy affect fertility?

Conclusions: Between ages 2 and 12 years the timing of unilateral orchiopexy may vary without an effect on subsequent fertility potential. When biopsy at surgery lacks germ cells, there is an approximately 33% age independent risk of subsequent infertility.

When should orchiopexy be done?

Orchiopexy should not be performed before 6 months of age, as testes may descend spontaneously during the first few months of life. The highest quality evidence recommends orchiopexy between 6 and 12 months of age.

What is a bilateral orchiopexy?

An orchidopexy can be done on one or both sides. When both testicles are brought down this is called a bilateral orchidopexy. The reason for surgery is that if a non- descended testicle is not brought down into the scrotum before puberty it usually will fail to develop its ability to produce sperm.

How common is an orchiopexy?

Orchiopexy, the most common surgical procedure for correcting a single descending testicle, has a success rate of nearly 100 percent. Fertility for males after surgery with a single undescended testicle is nearly normal, but falls to 65 percent in men with two undescended testicles.

How long does it take for pain to go down after orchiopexy?

The incision will ooze fluid for 2 to 3 days. You can expect to feel better each day, although you may have some mild to moderate pain for several days after surgery. You may need pain medicine during this time. Your scrotum will be swollen after surgery. This is normal. The swelling usually goes down within 2 to 4 weeks.

When do you need a bilateral orchiopexy procedure?

In premature infants, cryptorchidism describes one or both testicles that do not descend at the appropriate age. When both testicles are affected, it’s called bilateral cryptorchidism, and the procedure to repair the condition is called a bilateral orchiopexy.

What happens when you have an orchiopexy in your testicle?

You have had an orchiopexy (say “OR-kee-oh-peck-see”). In adults this is usually done for testicle torsion. This occurs when your testicle twists, which twists the cord that provides it with blood. This cuts off blood from the testicle. This is usually an emergency, and the surgery takes place right away.

When to return to work after orchiopexy surgery?

Pat the cut (incision) dry. Do not take a bath for 2 weeks or until your doctor tells you it is okay. Ask your doctor when it is okay for you to have sex. Most men are able to return to work or their normal activities within 1 to 2 weeks after surgery. You can eat your normal diet.