Bilateral cryptorchidism
If both testicles are undescended, the risk of infertility without treatment reaches 50–70%, so surgery is performed as early as possible, with hormonal preparation if necessary. Both testicles are brought down through separate inguinal incisions during one anesthesia. In adolescents and adults, after surgery, the spermogram is monitored and, if necessary, cryopreservation is discussed. In case of testicular torsion, mandatory fixation of the opposite testicle prevents a recurrence.
Indications
- cryptorchidism - undescended testicle into the scrotum (the operation is optimal at 6–18 months, but can be performed later);
- retractile and ectopic testicle with developmental disorders;
- testicular torsion - emergency fixation after untwisting and preventive fixation of the second testicle;
- habitual (intermittent) torsion.
Why is it important to operate on time?
The testicle outside the scrotum is at a higher temperature, which disrupts spermatogenesis and increases the risk of tumors by 3–8 times. Early orchiopexy preserves fertility and makes monitoring easier. With torsion, the clock counts: after 6 hours of ischemia, the testicle often dies, so if there is sudden pain in the scrotum, immediate surgery is needed.
