Orchiectomy is a surgery to remove one or both testicles.
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An orchiectomy may be done to treat:
It can also be a diagnostic procedure to determine if cancer is present when a mass is found during ultrasound.
If you are planning to have an orchiectomy, your doctor will review a list of possible complications, which may include:
Factors that may increase the risk of complications include:
Discuss these risks with your doctor before the surgery.
Your doctor and anesthesiologist may do the following:
Talk to the doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure, like:
Other things to keep in mind before the procedure:
You will be prepared for surgery. The genital area will be shaved and sterilized. An IV will be placed in your arm for medicines and fluids.
Once you are asleep, the doctor will make a small incision in the groin area or in the scrotum. The testicle is pulled up from the scrotal sac. The cord that connects the testicle to the scrotum is clamped and sutured. The testicle is removed. Absorbable stitches will be used to close all incision areas.
A prosthetic testicle is sometimes placed into the scrotum. This can be done at the time of the surgery or at a later date.
About one hour per testicle
You will not feel any pain during the procedure. The doctor will give you pain medicine when you wake up.
The staff may provide the following care to make you more comfortable and help your recovery:
You will be able to leave when the anesthesia has worn off and you can walk.
When you return home, do the following to help ensure a smooth recovery:
After arriving home, contact your doctor if any of the following occurs:
In case of an emergency, call for medical help right away.
American Urological Association
Testicular Cancer Resource Center
Canadian Urological Association
Orchiectomy. In: Khatri V. Operative Surgery Manual . Philadelphia, PA: Saunders Elsevier; 2003: chap 46.
Orchiectomy surgery. St. Joseph’s Healthcare Hamilton website. Available at: http://www.stjoes.ca/media/PatientED/K-O/PD%206660%20Orchiectomy%20Surgery.pdf . Updated August 2009. Accessed August 17, 2010.
Ryan C, Small E, Torti F. Testicular cancer. In: Abeloff M. Abeloff’s Clinical Oncology . 4th ed. Philadelphia, PA: Churchill Livingstone Elsevier; 2008: chap 90.
Testicular cancer treatments: the inguinal orchiectomy. Testicular Cancer Resource Center website. Available at: http://tcrc.acor.org/orch.html . Updated June 21, 2009. Accessed August 17, 2010.
6/6/2011 DynaMed's Systematic Literature Surveillance DynaMed's Systematic Literature Surveillance : Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
Last reviewed September 2012 by Adrienne Carmack, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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