Testicular fixation surgery differs from the orchiopexy procedure performed for undescended testes. This specialized surgical method is applied in cases of retractile testes. In a retractile testis, the testicle is sometimes located in the scrotum, while at other times it moves upward into the inguinal region. Although this condition is not considered a permanent undescended testis, it can lead to problems over time.
What is a Retractile (Shy) Testis?
A retractile testis is one that moves between the scrotum and the inguinal region. It is commonly seen in children and can increase the risk of the testis remaining permanently in the upper position as they grow older.
How is Testicular Fixation Surgery Performed?
- The surgery is performed under general anesthesia.
- The testis is brought down into the scrotum.
- A small pocket is created under the scrotal skin to hold the testis.
- The testis is secured inside this pocket with permanent sutures, preventing it from moving back into the inguinal region.
Advantages of Orchiopexy Surgery
- Ensures that the testis remains permanently in the scrotum.
- Eliminates uncertainty caused by a retractile testis.
- Preserves the functional characteristics of the testis, including sperm and hormone production.
Recovery After Orchiopexy Surgery
- The surgery can be performed as a day procedure under light anesthesia.
- Mild swelling and pain may occur during the first few days.
- Daily activities can typically be resumed within 1–2 days.
Final Notes
Testicular fixation surgery provides a permanent solution for retractile (shy) testis. When performed by experienced surgeons, it is a safe, effective procedure with high patient satisfaction.
