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.
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?
- →No inguinal incision — purely scrotal approach minimises trauma.
- →Shorter operative time than inguinal orchidopexy.
- →Equivalent success rate for properly selected low-lying testes.
- →Avoids risk of ilioinguinal nerve injury from inguinal approach.
- →Rapid recovery — children return to normal activity within days.
- →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
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