Pediatric Urology: Undescended Testicle in Children

The testicles are egg-shaped organs that lie in the scrotum. They produce the male hormone testosterone. They also contain reproductive cells called sperm. An undescended testicle occurs when there is failure of the testicle to descend from the abdominal position in the fetus into the scrotum.

Surgical Repair Undescended Testicle in Children

Orchiopexy is the surgical procedure for an undescended testicle. A small incision is made in the groin. The testicle is brought down into the scrotum. Occasionally, an abdominal incision is necessary if the testicle is high up in the abdomen. Laparoscopy may be necessary to help locate a testicle that is undescended. Sometimes it may be used to bring the testicle down. In some cases the testicle might be abnormal and need to be removed (orchiectomy). The procedure will last approximately 45 minutes. Recovery room time will last a half-hour.

Post-operative care and follow-up for Undescended Testicle Surgery (Orchiopexy) in Children

• Activity: Recovery is quite rapid and many children return to full activity almost immediately.
• Surgical Site: There is no special care for the incision. Leave the surgical dressing or tape in place until it comes off by itself.
• Bathing: It is okay to bathe your son the day after surgery. A warm bath without soap will help reduce swelling and discomfort. Change diapers frequently to keep the incision site clean.
• Bruising/swelling: You can expect bruising or swelling of the scrotum. This should resolve over the next few weeks.
• Diet: Start with clear liquids. When clears are tolerated you may advance to regular foods.
• Pain Relief: We recommend alternating Tylenol and Ibuprofen for the first few days after surgery. You may give it as directed on the bottle or package.  Depending on the age and the complexity of the surgery, a stronger medication occasionally is required.