Discharge instructions for care of a child who has just had an orchiopexy should include:
1. Information to the parents that the child can resume 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, non-restrictive 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 two 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 of cryptorchidism (failure of the testes to descend into the scrotal sac). Discharge instructions should include information about the need for loose, non-restrictive clothing to avoid pressure on the postoperative 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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