Orchiectomy

What is it?

Surgical removal of one or both testes is called Orchiectomy.A radical single side Orchiectomy is indicated in the management of a suspected testicular tumor. A testicular tumor is suspected in any patient with the physical findings of a painless, firm, and irregular mass arising from the testicle. Bilateral Orchiectomy is indicated in advanced cancer of the prostate. This results in a drastic lowering of testosterone levels in the body as 95% of testosterone is produced in the testicles (testosterone is also produced by the adrenal glands).

Testosterone is one of the hormones that promote prostate growth and development, when it is no longer available the prostate cancer cells are unable to grow. Orchiectomy is not a cure for prostate cancer however, it increases the rate of survival. When Orchiectomy is performed to remove early testicular cancer, it may completely eradicated the cancer without the need for adjuvant treatment like radiotherapy or chemotherapy.

How it is done?

Orchiectomy is performed under general anesthesia, prior hospitalization may or may not be necessary. The lower abdomen and scrotum will be shaved and thoroughly cleaned before the operation. Either general anaesthesia or spinal block will be given to ensure that you do not experience any pain during the procedure. Testicles will be removed through an incision in the scrotum or the groin. At the end of the Orchiectomy operation, the incision will be sutured. The surgery generally takes between 30 minutes and 1 hour.

You will be allowed to go home after 1 - 2 days. You will be ready to resume your daily activities in about a week and will be instructed to come in for regular follow up for the next 5 years

Prevention

If Orchiectomy was performed for the treatment of testicular cancer or prostate cancer. Keep your incision clean and dry, carefully clean the scrotal area when you bathe or shower.