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Topic: Orchiopexy

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	Orchiopexy: Encyclopedia of Surgery
		Orchiopexy is a procedure in which a surgeon fastens an undescended testicle inside the scrotum, usually with absorbable sutures.
		To understand the reasons for performing an orchiopexy in children, it is helpful to have an outline of the normal pattern of development of the testes in a male infant.
		Orchiopexy is considered a necessary procedure for psychological reasons, as boys with only one visible testicle are frequently subjected to teasing and ridicule after they start school.
	health.enotes.com /surgery-encyclopedia/orchiopexy (2806 words)

	Dr. Koop - Cryptorchidism (Undescended testicles)- Health Encyclopedia and Reference
		Orchiopexy is a surgical procedure that secures the proper position of a testicle in the scrotum.
		Orchiopexy for correction of an undescended testicle is usually performed in children ages 1 to 6.
		In two-stage orchiopexy, an alternative procedure, the surgeon brings the testicle down into the scrotal sac and stitches it to the thigh; then, 2 to 3 months later, she embeds it in the scrotal sac.
	www.drkoop.com /encyclopedia/93/390.html (769 words)

	Carilion - Orchiopexy for undescended testicles
		Orchiopexy is done to place an undescended testicle in its normal position in the scrotum.
		Orchiopexy is usually successful, but rates vary by where the testicle is located at the time the surgery is done.
		Some doctors recommend a testicular biopsy during orchiopexy if the undescended testicle is in the abdomen or if the child has genital defects, such as hypospadias, or a genetic disorder.
	www.carilion.com /kbase/htm/rt11/39/rt1139.htm (703 words)

	The Journal of Family Practice
		Orchiopexy may allow earlier detection of testicular tumors (SOR: C, expert opinion), but it has not been shown to reduce the risk of testicular cancer (SOR: B, retrospective cohort study) or improve 5-year survival rates for those patients diagnosed with testicular cancer (SOR: B, retrospective cohort study).
		The 2 main indications for orchiopexy are potential avoidance of infertility and early detection and treatment of testicular cancer.
		The benefits of orchiopexy for testicular cancer are also unclear; expert opinion suggests that orchiopexy may allow earlier detection of testicular tumors.
	www.jfponline.com /Pages.asp?AID=4013 (775 words)

	Orchiopexy for undescended testicles
		Orchiopexy may also be done on older boys and, rarely, teens and adult men with undescended testicles.
		Sometimes an undescended testicle is surgically removed from the body and reimplanted in the scrotum (testicular autotransplantation), and the surrounding tissues and blood vessels are reattached.
		Orchiopexy is usually successful, but rates vary by where the testicle is located prior to treatment.
	hw.healthdialog.com /kbase/topic/detail/surgical/rt1139/detail.htm (699 words)

	AUB-Surgery
		Orchiopexy nowadays is a frequently performed operation done on outpatient basis and sometimes under local anesthesia (1,5,18).
		In bilaterally undescended testes that are in the superficial inguinal pouch, outlook for fertility is normal after orchiopexy.
		Complications of orchiopexy are hematoma, wound sepsis, testicular atrophy, failure of the testes to reach the scrotum, retraction of the testes out of the scrotum and occlusion of the vas deferens (1,15).
	wwwlb.aub.edu.lb /~websurgp/sc0e.html (702 words)

	The Undescended Testicle: Diagnosis and Management - November 1, 2000 - American Family Physician
		The inguinal orchiopexy is a well-established operation for the palpable undescended testicle.
		Orchiopexy should be performed by urologists who are well versed in the surgical procedure and the management of complications.
		A laparoscopic orchiopexy maintaining the integrity of the spermatic vessels is possible in this case.
	www.aafp.org /afp/20001101/2037.html (3278 words)

	Cryptorchidism - Wikipedia, the free encyclopedia
		The principal major complication of all types of orchiopexy is loss of the blood supply to the testis, resulting in loss of the testis due to ischemic atrophy or fibrosis.
		One of the strongest arguments for early orchiopexy is prevention of testicular cancer.
		Cancer developing in an intra-abdominal testis would be unlikely to be recognized before considerable growth and spread, and one of the advantages of orchiopexy is that a mass developing in a scrotal testis is simply far easier to recognize than an intra-abdominal mass.
	en.wikipedia.org /wiki/Cryptorchidism (2910 words)

	eMedicine - Cryptorchidism : Article by Marcos R Perez-Brayfield, MD (Site not responding. Last check: 2007-11-05)
		Orchiopexy should be considered after 6 months of life, as the rate of descent diminishes considerably after this point.
		Orchiopexy for palpable testis (scrotal, inguinal and suprainguinal) - 80-90%
		Orchiopexy is not protective against subsequent testis cancer and does place the testis in a favorable position for routine self-examination.
	www.emedicine.com /ped/topic3080.htm (3692 words)

	Orchiopexy - Definition, Purpose, Demographics, Description, Diagnosis/Preparation, Aftercare, Risks, Normal results
		Because of the potentially serious consequences of cryptorchidism, however, doctors do not advise watchful waiting once the child is over six months old.
		An orchiopexy is used to repair an undescended testicle in childhood.
		An incision is made into the abdomen, the site of the undescended testicle, and another is made in the scrotum (A).
	www.surgeryencyclopedia.com /La-Pa/Orchiopexy.html (2925 words)

	Efficacy of an inguinal orchiopexy pathway
		Objective: To evaluate the ability of an inguinal orchiopexy pathway to reduce costs and times for anesthesia, surgery, and stays in the Post Anesthesia Care Unit (PACU) and Step-down PACU.
		Surgical wound infections or 72-hour re-admissions or Emergency Department visits were not reported for any of the 3 groups.
		Conclusions: The inguinal orchiopexy pathway has maintained and improved outcomes and cost reductions over time.
	apha.confex.com /apha/130am/techprogram/paper_45698.htm (321 words)

	UNDESCENDED TESTICLE
		Pediatric urologist recommend that any testicle not in the scrotum be brought down by the age of 1-1.5 years with an orchiopexy for several reasons.
		Do to your age it is generally recommended you have an orchiopexy to allow self exams of the testicle if there is any suspicion of a mass, an orchiectomy should be performed.
		If you are currently unable to have children, please consult your local physician who can refer you to a urologist to perform a possible orchiopexy and infertility workup.
	www.medhelp.org /forums/Urology/archive/5128.html (322 words)

	Amazon.com: "early orchiopexy": Key Phrase page (Site not responding. Last check: 2007-11-05)
		Second, early orchiopexy should decrease the risk of malignancy.
		Although currently we cannot say that early orchiopexy removes the risk of testicular cancer, it does bring the testis into the scrotum where it can be examined, both...
		Early orchiopexy: prepubertal intratubular germ cell neoplasia and fertility outcome.
	www.amazon.com /phrase/early-orchiopexy (494 words)

	NEJM -- Testicular function after orchiopexy for unilaterally undescended testis
		Testicular function after orchiopexy for unilaterally undescended testis
		Testicular function was determined in 29 men, 21 to 35 years old, who had undergone orchiopexy for unilaterally undescended testis at four to 12 years of age.
		Serum testosterone and dialyzable testosterone concentrations of these men were not significantly different from those of a control group of 30 normal men, and their basal serum luteinizing hormone concentrations and serum luteinizing hormone responses to synthetic gonadotropin-releasing hormone were only slightly higher than those of the normal men.
	content.nejm.org /cgi/content/short/295/1/15 (265 words)

	Orchiopexy
		If one or both of a boy's testicles fail to descend from the lower abdomen into the scrotum, the problem can be remedied by an operation called an orchiopexy (OR-kee-o-PEK-see).
		The testicles ordinarily fall into place before birth.
		None of the contents of contained on this service may be reproduced, stored or transmitted in any form without prior written permission of Medical Economics Company, Inc.
	www.healthsquare.com /mc/fgmc0818.htm (1472 words)

	orchiopexy - available resources from Patient UK
		orchiopexy - available resources from Patient UK orchiopexy
		orchiopexy - also known as or related to orchidopexy (procedure), fixation of testis, orchidopexy
		Use the Google Search box below to search our site (default) or to search on the internet.
	www.patient.co.uk /leaflets/orchiopexy.htm (151 words)

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