Overview

Undescended testis, referred to as cryptorchidism, is a medical condition causing one or both testes in children to fail to descend into the scrotum before birth. This condition is relatively common in newborn boys, especially in premature infants, which, if left untreated, can lead to fertility problems, hormonal issues, increased risk of testicular cancer, or psychological concerns later in life.

Orchiopexy is a surgical treatment performed to correct an undescended testis. It repositions the testicle into the scrotum and permanently secures it. Pediatric urologists recommend early intervention, ideally between 6 and 18 months of age, to maximise fertility potential and reduce long-term complications.

Why is Orchiopexy Needed?

To improve fertility potential in adulthood.
To decrease the risk of testicular cancer.
It will allow easier detection of testicular problems later in life.
To correct hormonal imbalances and promote normal growth.
To improve cosmetic and psychological well-being.

Before the Surgery

A thorough physical examination and sometimes imaging (ultrasound, MRI, or laparoscopy) help locate the undescended testis.
Preoperative blood tests and anaesthesia assessments happen.
Parents get guidance on fasting instructions for the child before surgery.

During the Surgery

Performed under general anaesthesia.
A small incision is made in the groin or abdomen to locate the testicle.
The testis is carefully mobilised and brought down into the scrotum.
It is then fixed and put in place to prevent re-ascent.
Surgery typically lasts 45 minutes to 1 hour for one testis.

After the Surgery

The doctors generally discharge the child the same day or after a hospital stay.
Mild swelling or discomfort may occur, which subsides in a few days.
Pain is controllable with prescribed medication.
Parents learn about wound care and activity restrictions for a few weeks.

Benefits & Risks

Benefits

Restores the testis to its natural position.
Reduces cancer risk.
Improves fertility chances.
Enhances physical appearance and confidence.

Risks (though rare)

Infection or bleeding.
Reascension of the testis.
Testicular atrophy (loss of blood supply).
Reaction to anaesthesia.

Recovery & Precautions

Recovery is usually quick, within 1–2 weeks.
Avoid rough play, cycling, or sports until cleared by the doctor.
Regular follow-up is essential to ensure proper healing and testicular growth.
Doctors may advise long-term monitoring until puberty.

FAQs on Undescended Testis Surgery (Orchiopexy)

What is the best age for orchiopexy?

Ideally, the surgery must happen between 6 and 18 months of age for the best outcomes.

Can orchiopexy be done in adults?

Yes, but early childhood surgery offers better fertility and cancer-prevention benefits. In adults, it is suitable for cosmetic or cancer surveillance reasons.

Will my child’s fertility be normal after orchiopexy?

Fertility outcomes are best when surgery takes place earlier. One-sided undescended testis often preserves fertility, while both-sided cases may need further evaluation.

Is orchiopexy a painful surgery?

Children may feel mild discomfort for a few days with pain relief medication.

Will the problem recur after surgery?

Rarely, the testis may move upward again, requiring a second procedure.

Why choose Tender Palm Super-Speciality Hospital for Pediatric Undescended Testis Surgery (Orchiopexy) in Lucknow, India?

Tender Palm Super-Speciality Hospital is one of the best hospitals for Pediatric Undescended Testis Surgery in Lucknow, India. Our experienced pediatric urologists use advanced tools to give accurate results, quick diagnosis, and better long-term care. We offer the best evaluation and treatment support with effective and affordable pricing, making the Pediatric Undescended Testis Surgery cost suitable for patients seeking high-quality urology care in Lucknow, India.