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In normal development, the testes have followed the gubernaculum downward into the scrotum by the time the baby is born. The gubernaculum is an embryonic cord-like ligament that attaches the testes within the inguinal (groin) region of a male fetus up through the seventh month of pregnancy.īetween the 28th and the 35th week of pregnancy, the gubernaculum migrates into the scrotum and creates space for the testes to descend. Purpose 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. Other names for orchiopexy include orchidopexy, inguinal orchiopexy, repair of undescended testicle, cryptorchidism repair, and testicular torsion repair. In adults, orchiopexy is most often done to treat testicular torsion, which is a urologic emergency resulting from the testicle's twisting around the spermatic cord and losing its blood supply.
Orchiopexy is also occasionally performed in adolescents or adults, and may involve one or both testicles. It is done most often in male infants or very young children to correct cryptorchidism, which is the medical term for undescended testicles. Orchiopexy is a procedure in which a surgeon fastens an undescended testicle inside the scrotum, usually with absorbable sutures.
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