Name of the Procedure:

Fixation of Contralateral Testis (Separate Procedure) Medical Term: Orchiopexy

Summary

Fixation of the contralateral testis is a surgical procedure to secure the testicle in the scrotum, preventing it from twisting. This is often done separately from other surgeries.

Purpose

This procedure is performed to address the condition known as testicular torsion, where the testicle twists, cutting off its blood supply. The goal is to secure the non-affected testicle to prevent future torsion and subsequent complications.

Indications

• History of testicular torsion or high risk of torsion
• Undescended testicles
• Testicular appendage torsion

Preparation

• Fasting for 6-8 hours prior to the procedure
• Discontinuation of specific medications as advised by the healthcare provider
• Preoperative blood tests and possibly an ultrasound

Procedure Description

1. The patient is given general anesthesia to ensure they are asleep and pain-free.
2. A small incision is made in the scrotum.
3. The testicle is identified and gently manipulated.
4. Sutures are placed to secure the testicle to the inner scrotum wall.
5. The incision is closed with sutures.

Duration

Typically, 30-60 minutes.

Setting

Performed in a hospital or outpatient surgical center.

Personnel

• Urologist or Pediatric Surgeon
• Anesthesiologist
• Surgical nurses

Risks and Complications

• Infection
• Bleeding
• Recurrence of testicular torsion
• Reaction to anesthesia
• Potential damage to the testicle or surrounding tissues

Benefits

• Prevention of future torsion
• Preserved testicular function
• Increased peace of mind for patients and parents

Recovery

• Mild soreness and swelling for a few days
• Pain management with oral medications
• Avoid heavy lifting and strenuous exercise for a couple of weeks
• Follow-up appointment to ensure proper healing

Alternatives

• Watchful waiting if the risk is low
• No effective non-surgical alternatives for preventing torsion

Patient Experience

The patient will take time to awaken from anesthesia and may feel groggy. Mild discomfort and swelling in the scrotum are common and managed with pain medication. Full recovery typically occurs within a few weeks, with specific activity modifications to ensure healing.