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Orchiopexy is performed in the event of testicular torsion, a urologic emergency presenting with intense pain and often without inciting injury. [citation needed]While neonatal torsion occurs with no anatomic defect to account for its occurrence (occurring in utero or shortly after birth), adult torsion results from a bilateral congenital anomaly often called a "bell-clapper deformity", where ...
The diagnosis should usually be made based on the presenting symptoms, but requires timely diagnosis and treatment to avoid testicular loss. [4] [page needed] [1] [2] An ultrasound can be useful when the diagnosis is unclear. [2] Treatment is by physically untwisting the testicle, if possible, followed by surgery. [1] Pain can be treated with ...
It is usually treatable if caught early, so urologists often recommend that boys who had orchiopexy as infants be taught testicular self-examination, to recognize testicular masses and seek early medical care for them. Cancer developing in an intra-abdominal testis would be unlikely to be recognized before considerable growth and spread, and ...
Long permanent sutures, usually silk or polypropylene, are left on the stump of the spermatic cord as a marker in case it needs to be removed in the future during a retroperitoneal lymph node dissection (RPLND). The inguinal orchiectomy is a necessary procedure if testicular cancer is suspected.
[15] [16] Therefore, if the testicular artery is ligated, e.g., during a Fowler-Stevens orchiopexy for a high undescended testis, the testis will usually survive on these other blood supplies. [ 17 ] Lymphatic drainage of the testes follows the testicular arteries back to the paraaortic lymph nodes , while lymph from the scrotum drains to the ...
For example, in gastrectomy, "ectomy" is a suffix meaning the removal of a part of the body. "Gastro-" means stomach. Thus, gastrectomy refers to the surgical removal of the stomach (or sections thereof). "Otomy" means cutting into a part of the body; a gastrotomy would be cutting into, but not necessarily removing, the stomach. In addition ...
The post-pubertal pediatric population and adults are at higher risk of malignant tumors and usually have a histology of a mixed germ cell tumor. Their first line of treatment is radical orchiectomy; however, they may be candidates for testis-sparing surgery such as partial orchiectomy, if there is a presence of a benign tumor.
Oophorectomy is an intra-abdominal surgery and serious complications stemming directly from the surgery are rare. When performed together with hysterectomy, it has influence on choice of surgical technique as the combined surgery is much less likely to be performed by vaginal hysterectomy. [citation needed]