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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 ...
The ectopic testis can be in the perineal region, the opposite side of the scrotum, the suprapubic region, the femoral region, or in the superficial inguinal pouch. [1]The ectopic testis is initially normal, but if it is ignored after childhood, it may become small and soft, with spermatogenesis arresting and interstitial cell proliferation occurring.
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.
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.
Patients are usually examined in the supine position with a towel draped over their thighs to support the scrotum. Warm gel should always be used because cold gel can elicit a cremasteric response resulting in thickening of the scrotal wall; hence a thorough examination is difficult to be performed.
-centesis : surgical puncture-tripsy : crushing or breaking up-desis : fusion of two parts into one, stabilization-ectomy : surgical removal (see List of -ectomies). ...