Which should be included in discharge instructions for care of a child after an orchiopexy?
1. Information to the parents about the child resuming normal vigorous activities
2. Discussion with the parents about the low incidence of testicular malignancy and no further need for any follow-up
3. Explanation to the parents about the need for loose and nonrestrictive clothing
4. Reassurance to the parents that infertility is not a future risk
3
Rationale:
1. Vigorous activities such as straddling toys, riding bicycles, or rough play should be avoided for up to 2 weeks following surgery, to promote healing and prevent injury.
2. The risk of testicular cancer is 35–50 times greater in men with a history of cryptorchidism. Long-term planning includes teaching the child to perform monthly testicular examinations once puberty has been reached.
3. Orchiopexy is the surgical correction for cryptorchidism (failure of the testes to descend into the scrotal sac). Discharge instructions should include the information about the need for loose and nonrestrictive clothing to avoid pressure to the postop site.
4. A discussion of fertility and the possible need for fertility testing is important, since cryptorchidism increases the risk of infertility.
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