Discharge instructions for care of a child who has just had an orchiopexy should include
1. information to the parents about thechild's resuming normal vigorous activities.
2. discussion with the parents aboutthe low incidence of testicular malignancy and no further need for any follow-up.
3. explanation to the parents about theneed for loose,nonrestrictive clothing.
4. reassurance to the parents thatinfertility is not a future risk.
Answer:3
Rationale: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,nonrestrictive clothing to avoid pressure on the postoperative site. The risk of testicular cancer is 35 to 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. 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. A discussion of fertility and the possible need for fertility testing is important,since cryptorchidism increases the risk of infertility.
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