{"id":12802,"date":"2025-08-01T11:00:13","date_gmt":"2025-08-01T15:00:13","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/orchidopexy\/"},"modified":"2026-10-06T12:50:55","modified_gmt":"2026-10-06T16:50:55","slug":"orquidopexia-pt-br","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/orquidopexia-pt-br\/","title":{"rendered":"Orquidopexia"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[112],"glossary-product":[116],"class_list":["post-12802","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-procedures","glossary-product-testi10-testicular-prosthesis"],"acf":{"gt-definition":"<p>A orquidopexia \u00e9 um procedimento cir\u00fargico que consiste na fixa\u00e7\u00e3o de um test\u00edculo n\u00e3o descido (criptorquidia) no escroto.<sup class=\"citation\">1<\/sup> Essa interven\u00e7\u00e3o \u00e9 realizada quando um test\u00edculo n\u00e3o desceu naturalmente do abdome ou do canal inguinal para sua posi\u00e7\u00e3o anat\u00f4mica adequada no escroto.<sup class=\"citation\">2<\/sup> O procedimento tem como objetivo reposicionar e fixar o test\u00edculo n\u00e3o descido na bolsa escrotal, preservando assim a fun\u00e7\u00e3o testicular, melhorando o potencial de fertilidade e facilitando o exame futuro para a detec\u00e7\u00e3o precoce de anormalidades testiculares.<sup class=\"citation\">3<\/sup><\/p>\n\n    <p>O procedimento normalmente envolve uma pequena incis\u00e3o na virilha ou no escroto, a localiza\u00e7\u00e3o do test\u00edculo n\u00e3o descido, sua libera\u00e7\u00e3o dos tecidos adjacentes, a cria\u00e7\u00e3o de um trajeto at\u00e9 o escroto e sua fixa\u00e7\u00e3o em uma bolsa criada cirurgicamente (bolsa de dartos) no escroto.<sup class=\"citation\">4<\/sup> Recomenda-se que a orquidopexia seja realizada entre 6 e 18 meses de idade para minimizar o risco de comprometimento da fertilidade e de outras complica\u00e7\u00f5es de longo prazo associadas aos test\u00edculos n\u00e3o descidos.<sup class=\"citation\">5<\/sup><\/p>","gt-synonyms":"Orquiopexia, fixa\u00e7\u00e3o testicular, cirurgia de reparo de test\u00edculo n\u00e3o descido, reparo de criptorquidia, opera\u00e7\u00e3o de Fowler-Stephens (especificamente para test\u00edculo intra-abdominal), cirurgia de reposicionamento testicular","gt-citation":"[1] Elseth A, Thorup J, Thorup SC, Cortes D. Orchiopexy. [Updated 2024 Apr 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK560904\/\n\n[2] Mathers MJ, Sperling H, R\u00fcbben H, Roth S. The undescended testis: diagnosis, treatment and long-term consequences. Dtsch Arztebl Int. 2009 Aug;106(33):527-32. DOI: 10.3238\/arztebl.2009.0527\n\n[3] Zhao T, Deng F, Jia W, Gao X, Li Z, Tang X, et al. Ambulatory Orchidopexy Is a Potential Solution to Improve the Rate of Timely Repair in Cryptorchid Boys: An 8 Year Retrospective Study of 4,972 Cases. Front Pediatr. 2021 May 4;9:671578. DOI: 10.3389\/fped.2021.671578. PMID: 34017811\n\n[4] Hutson JM, Thorup J. Evaluation and management of the infant with cryptorchidism. Curr Opin Pediatr. 2015 Aug;27(4):520-4. DOI: 10.1097\/MOP.0000000000000237. PMID: 26087417\n\n[5] Kolon TF, Herndon CD, Baker LA, et al.; American Urological Association. Evaluation and Treatment of Cryptorchidism: AUA Guideline. J Urol. 2014;192(2):337-345. DOI: 10.1016\/j.juro.2014.05.005. PMID: 24857650","gt-clinical-context":"<p>A orquidopexia \u00e9 indicada principalmente para o tratamento da criptorquidia (test\u00edculos n\u00e3o descidos), o defeito cong\u00eanito mais comum da genit\u00e1lia masculina, que ocorre em aproximadamente 3% dos rec\u00e9m-nascidos a termo do sexo masculino e em at\u00e9 30% dos rec\u00e9m-nascidos prematuros do sexo masculino.<sup class=\"citation\">1<\/sup> A descida testicular pelo canal inguinal normalmente come\u00e7a durante a 28\u00aa semana de gesta\u00e7\u00e3o, e cerca de 80% dos test\u00edculos n\u00e3o descidos observados ao nascimento migram para o escroto at\u00e9 os 3 meses de idade.<sup class=\"citation\">2<\/sup> Os test\u00edculos n\u00e3o descidos que permanecem fora do escroto aos 6 meses de idade provavelmente exigir\u00e3o interven\u00e7\u00e3o cir\u00fargica.<sup class=\"citation\">3<\/sup><\/p>\n\n    <p>Os crit\u00e9rios de sele\u00e7\u00e3o de pacientes para orquidopexia incluem:<\/p>\n    <ul>\n        <li>Lactentes com test\u00edculos n\u00e3o descidos que n\u00e3o desceram espontaneamente at\u00e9 os 6 meses de idade corrigida<sup class=\"citation\">4<\/sup><\/li>\n        <li>Crian\u00e7as ou adolescentes diagnosticados com criptorquidia em qualquer idade<sup class=\"citation\">5<\/sup><\/li>\n        <li>Pacientes com tor\u00e7\u00e3o testicular que necessitam de fixa\u00e7\u00e3o do test\u00edculo afetado e\/ou contralateral<sup class=\"citation\">1<\/sup><\/li>\n    <\/ul>\n\n    <p>As diretrizes da American Urological Association (AUA) recomendam a orquidopexia cir\u00fargica entre 6 e 18 meses de idade.<sup class=\"citation\">5<\/sup> A interven\u00e7\u00e3o precoce \u00e9 crucial, pois quanto mais a orquidopexia \u00e9 adiada, maior \u00e9 a perda de c\u00e9lulas germinativas e o potencial de problemas futuros de infertilidade.<sup class=\"citation\">2<\/sup> Pesquisas indicam que, para cada 6 meses de atraso na realiza\u00e7\u00e3o da cirurgia, h\u00e1 aproximadamente 1% de queda na fertilidade, 5% de aumento na necessidade de servi\u00e7os de reprodu\u00e7\u00e3o assistida e 6% de aumento no risco de c\u00e2ncer testicular.<sup class=\"citation\">1<\/sup><\/p>\n\n    <p>As abordagens cir\u00fargicas para orquidopexia variam conforme a localiza\u00e7\u00e3o do test\u00edculo n\u00e3o descido:<\/p>\n    <ul>\n        <li>Abordagem inguinal: t\u00e9cnica mais comum para test\u00edculos localizados no canal inguinal<\/li>\n        <li>Abordagem escrotal: utilizada quando o test\u00edculo est\u00e1 na parte superior do escroto<\/li>\n        <li>Abordagem laparosc\u00f3pica: preferida para test\u00edculos n\u00e3o descidos intra-abdominais<sup class=\"citation\">1<\/sup><\/li>\n    <\/ul>\n\n    <p>Os resultados esperados ap\u00f3s a orquidopexia incluem:<\/p>\n    <ul>\n        <li>Posicionamento bem-sucedido do test\u00edculo no escroto em aproximadamente 95% dos casos<sup class=\"citation\">3<\/sup><\/li>\n        <li>Preserva\u00e7\u00e3o da fun\u00e7\u00e3o testicular e poss\u00edvel melhora das perspectivas de fertilidade quando realizada precocemente<sup class=\"citation\">2<\/sup><\/li>\n        <li>Facilita\u00e7\u00e3o do exame testicular para a detec\u00e7\u00e3o precoce de malignidade<sup class=\"citation\">5<\/sup><\/li>\n        <li>Benef\u00edcios psicol\u00f3gicos relacionados \u00e0 apar\u00eancia normal do escroto<sup class=\"citation\">4<\/sup><\/li>\n    <\/ul>\n\n    <p>As poss\u00edveis complica\u00e7\u00f5es incluem infec\u00e7\u00e3o da ferida operat\u00f3ria, sangramento, atrofia testicular e criptorquidia recorrente.<sup class=\"citation\">1<\/sup> Recomenda-se acompanhamento de longo prazo para monitorar o desenvolvimento e a fun\u00e7\u00e3o testiculares.<\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":150},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.7 (Yoast SEO v28.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Orquidopexia: Fixa\u00e7\u00e3o Cir\u00fargica do Test\u00edculo | Rigicon<\/title>\n<meta name=\"description\" content=\"Conhe\u00e7a a orquidopexia, cirurgia de fixa\u00e7\u00e3o do test\u00edculo no escroto. 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