Orchiopexy For patients that have an undescended testicle, surgical intervention may be recommended. Depending on the age of the patient and positioning of the testicle, your physician might suggest a procedure called an orchiopexy to bring the testicle into the correct position in the scrotum. During this procedure, the testicle is moved into the scrotum, and some attachments holding it further up into the groin or abdomen are removed or divided. If the testicle is not palpable on exam in the groin or near the scrotum, your doctor will likely suggest further imaging prior to any procedure. Most cases of undescended testicle that would require this procedure are diagnosed in childhood. For adult patients, there is usually limited benefit to proceed with an orchiopexy. Removal or observation of an undescended testicle is typically recommended, depending on size and location of the testicle, as well as the age of the patient. Surgery may require a small incision in the groin, or a more advanced procedure with intra-abdominal laparoscopy to locate the testicle if it is not palpable in the groin. Recovery usually consists of some light activity for a few weeks, and may require low doses of narcotic medications for post-operative pain.