Scrotal Orchidopexy
Direct Scrotal Fixation for Low-Lying Palpable Undescended Testis
What is Scrotal Orchidopexy?
Scrotal Orchidopexy is performed for low-lying palpable undescended testes — typically those in the upper scrotum, superficial inguinal pouch (Denis Browne pouch), or gliding testes — that can be brought into the scrotum via a direct scrotal incision without requiring inguinal mobilisation. A small scrotal incision is made and the testis fixed within a dartos pouch. This approach avoids an inguinal incision, reduces operative time, and provides an excellent result for selected cases. The procedure is performed under general or spinal anaesthesia with a hospital stay of Day Care.
Boys with low-lying palpable undescended testis in the gliding or superficial inguinal pouch position that can reach the scrotum without inguinal dissection. Patients must be adequately fit for anaesthesia and free from active systemic infection before proceeding.
How the Procedure Works
Incision & Dartos Pouch
Scrotal incision made; dartos pouch developed between skin and dartos layers.
Testicular Delivery
Testis identified and gently pulled into the scrotal wound.
Gubernacular Release
Gubernacular attachments freed; adequate cord length confirmed.
Processus Ligation
Patent processus vaginalis ligated if present.
Testicular Fixation & Closure
Testis fixed within the dartos pouch with absorbable sutures; wound closed.
Outcomes
Who Needs This Treatment?
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No inguinal incision — purely scrotal approach minimises trauma.
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Shorter operative time than inguinal orchidopexy.
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Equivalent success rate for properly selected low-lying testes.
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Avoids risk of ilioinguinal nerve injury from inguinal approach.
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Rapid recovery — children return to normal activity within days.
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Single scrotal incision provides excellent cosmetic result.
"For the low-lying undescended testis, scrotal orchidopexy is elegant and effective — a small scrotal incision, rapid fixation, and the child is back to running around within days. Simple surgery, perfect result."
— — Dr. Vipin Reddy, Consultant Urologist, Andrologist & Renal Transplant Surgeon
Common Questions
Frequently Asked Questions
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