CPT® Code 54640

Orchiopexy is a surgical procedure aimed at repositioning an undescended testis into the scrotum, which is essential for normal testicular function and fertility. The procedure is typically performed when a testis has not descended into the scrotal sac by the age of one year, a condition known as cryptorchidism. The surgery involves making a transverse incision in the inguinal region or scrotum, allowing the surgeon to access the inguinal canal and the spermatic cord. During the operation, the ilioinguinal nerve is carefully identified and preserved to prevent nerve damage. The spermatic cord and the testis are then located, and any fibrous tissue, such as the gubernaculum, that may be restricting the testis is divided to facilitate movement. If a hernia sac is present, it is meticulously separated from the spermatic fascia and ligated to prevent complications. The procedure also includes creating a tunnel from the groin to the scrotum, where the testis is ultimately placed in a newly created pouch within the scrotum. This surgical intervention not only corrects the position of the testis but also minimizes the risk of future complications, such as testicular torsion or infertility, by ensuring that the testis is securely anchored in its new location.