orchiopexy (undescended testicle) - Page 2 - Mothering Forums

Forum Jump: 
Reply
 
Thread Tools
#31 of 35 Old 07-28-2008, 04:50 PM
 
Alki Mama's Avatar
 
Join Date: Jul 2007
Location: On the beach in West Seattle
Posts: 118
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Just as an update on our DS: There was an opening earlier in the summer, and we had approximately zero minutes to decide whether to take it, so we went with it.

It was at Children's Hospital in Seattle, and I have to give them props. Everyone was very kind to us and DS, and very gentle with him, and the doctors explained everything to us without condescension. The whole team introduced themselves before the surgery and told us their roles. Also, no one touched his foreskin -- hooray! During surgery, I was directed to a dedicated pumping room I could use to help with how swollen with milk I was. And when DS came out of surgery, they left us alone in a darkened room to breastfeed for hours while DS napped and fully awakened from the anesthesia. Seriously, they didn't bother us once -- very nice.

The one thing I really didn't appreciate was the overly restrictive guidelines regarding fasting from breastmilk before surgery -- 8 hours. Since that's way over the recommended time from the Am. Society of Anesth., I went ahead and followed the ASA's guidelines instead, not that I'm recommending that for anyone else. I'm planning to write the hospital a thank-you letter that includes a request to change their bm guidelines on npo.
references: http://www.kellymom.com/health/illne...y-surgery.html
http://www.asahq.org/Newsletters/200...atric0200.html

The surgeon made two small incisions, one in the bellybutton and one in the scrotum. They're barely noticeable, particularly the bellybutton one. DS had no second testicle -- the surgeon said that the blood supply had been cut off to it at some point (he theorized that it was during birth), and so it never developed past a little smear of tissue, which he scraped out of the scrotum to send off for biopsy. We haven't heard back on that, so I'm assuming no news is good news, as expected.

So I have mixed feelings about it. In some ways, the surgery went a little easier than I'd feared, and I was pleasantly surprised by the hospital experience. But it seems a little pointless in retrospect -- there was no testicle to save, so DS could have put off the surgery, perhaps indefinitely, but of course we didn't know that. Could an ultrasound have told us that? I don't know. Was it better to do it now than later? Maybe. Would it have been better not to have done it at all and lived with not knowing? Probably not. But the fact is, he didn't have an undescended testicle -- he had a descended one that stopped developing. I don't know what the risk factors of cancer are for that vs. undescended, but I imagine they're smaller. This one theoretically wasn't (genetically) abnormal until some accident robbed it of blood supply. And he should still be fertile with the existing testicle.

The recovery was quick although somewhat intense, mostly due to trying to get DS to take pain medication. He's not big on solids or swallowing liquids other than bm from the breast, and the pharmacy couldn't understand our desire for a suppository vs. liquid meds. We eventually mixed the overly sweetened meds into sherbet (very healthy, I know), and when he was in a better mood, pureed prunes and applesauce. It was seriously like pilling a cat otherwise. Screaming, thrashing head, red dye everywhere.

After a couple days, we stopped bothering with the pain meds during the day and used them only at night a few more times if he seemed to be having trouble sleeping through the pain. He was scootching around the day of the surgery. The incision sites healed quickly with minimal oozing and crusting, and the stitches dissolved on their own. We put the prescribed antibiotic ointment on for the first couple weeks or so a few times a day.

We go back for a post-op check next week, so I can let you know if we learn anything different there. But I just thought I'd post in case other people were curious about the procedure. Hope your situation goes/has gone smoothly, *Karen*!

mdcblog5.gif Hobo Mama • living on the beach with DP (Jun 98) and DS1 (Jun 07) and DS2 (May 11) familybed2.gif

Alki Mama is offline  
#32 of 35 Old 07-28-2008, 05:59 PM - Thread Starter
 
*Karen*'s Avatar
 
Join Date: Jul 2006
Location: Lexington, KY
Posts: 2,417
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Aw, thanks for the update. Bummer that there wasn't one there! But there was no way to know that!

We have it scheduled for September. We went with the second opinion guy because we just really didn't like the first guy. I am trying to just not think about it too much right now!

CPST and SAHM to DS (4/20/06) and DD (6/13/08)
*Karen* is offline  
#33 of 35 Old 07-29-2013, 12:12 PM
 
juliamiron's Avatar
 
Join Date: Jul 2013
Posts: 1
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 1 Post(s)

Just got back from the surgery center with our 15 month old.  He just had an orchiopexy and is now sleeping upstairs in his crib:) He seems to be doing well... he had no reaction to the anesthesia which was of course our biggest concern.  He has two incisions... one on the lower abdomen (2 inches) and one on the side of his scrotum (1inch).  They located the testicle... the canal was closed so they just opened the canal and brought it down.  The testicle is perfectly healthy.  We debated doing it as well but I think what pushed us to do it was that the chance of cancer later in life is higher if you leave it.  Of course he may still get cancer, but this way we know we did everything we could to give him the best chance of fertility and hopefully a cancer free life.  Feel free to check back with me if you have any questions:) Hope this helps and best wishes to you!

juliamiron is offline  
#34 of 35 Old 03-01-2014, 07:18 AM
 
sarahsarahw's Avatar
 
Join Date: Mar 2014
Posts: 1
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Quote:
Originally Posted by Alki Mama View Post
I keep wondering about the psychological aspect for the surgical patient as well -- is it easier to deal with and recover, the younger the baby? I would imagine so. A grade schooler who understands what's going on would be old enough to fear what's going on. A baby might be very fearful in the moment but then quickly forget.

Late to the thread but that's what I'm leaning towards if our DS needs it. My dh had the op done when he was about 3 and the memories of it still affect him a bit. I think the earlier you can have it done the better. I've badgered dh to write it up and hopefully get it out of his system, so if you want it from a little boy's perspective he's posted his story online.

sarahsarahw is offline  
#35 of 35 Old 07-22-2014, 11:41 PM
 
Join Date: Jul 2014
Posts: 1
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Undescended testicle

Quote:
Originally Posted by juliamiron View Post
<p>Just got back from the surgery center with our 15 month old.  He just had an orchiopexy and is now sleeping upstairs in his crib He seems to be doing well... he had no reaction to the anesthesia which was of course our biggest concern.  He has two incisions... one on the lower abdomen (2 inches) and one on the side of his scrotum (1inch).  They located the testicle... the canal was closed so they just opened the canal and brought it down.  The testicle is perfectly healthy.  We debated doing it as well but I think what pushed us to do it was that the chance of cancer later in life is higher if you leave it.  Of course he may still get cancer, but this way we know we did everything we could to give him the best chance of fertility and hopefully a cancer free life.  Feel free to check back with me if you have any questions Hope this helps and best wishes to you!</p>
My baby had a surgery too just like your son, but I'm concern that I don't see his testicles yet on the proper location after 4 months of surgery. Is your baby's testicles on the right place now after the surgery?
Janesch is offline  
Reply

Tags
Health

Quick Reply
Message:
Drag and Drop File Upload
Drag files here to attach!
Upload Progress: 0
Options

Register Now

In order to be able to post messages on the Mothering Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
If you do not want to register, fill this field only and the name will be used as user name for your post.
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



User Tag List

Thread Tools
Show Printable Version Show Printable Version
Email this Page Email this Page


Forum Jump: 

Posting Rules  
You may post new threads
You may post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are Off