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Orchiectomy

  • Definition

    Orchiectomy is a surgery to remove one or both testicles.
    Male Genitalia
    IMAGE
    Copyright © Nucleus Medical Media, Inc.
  • Reasons for Procedure

    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 .
  • Possible Complications

    Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
    • Nerve injury or damage to surrounding tissue or structures
    • Bleeding
    • Infection
    • Reaction to anesthesia
    Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:
  • What to Expect

    Prior to Procedure
    Your doctor and anesthesiologist may do the following:
    • A physical exam
    • Imaging, blood, and urine tests
    • Talk about anesthesia and the potential risks
    Talk to the doctor about your medications. You may be asked to stop taking some medications up to one week before the procedure.
    Other things to keep in mind before the procedure:
    • Arrange for a ride home from the hospital.
    • In most cases, you will need to avoid eating and drinking for 6-8 hours before the procedure. Ask your doctor when you should stop eating and drinking.
    Anesthesia
    The procedure is done under general or spinal anesthesia . You will be asleep or sedated. Anesthesia will block any pain during the surgery.
    Description of Procedure
    You will be prepared for surgery. The genital area will be shaved and sterilized.
    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.
    How Long Will It Take?
    About one hour per testicle
    How Much Will It Hurt?
    Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medications.
    Post-procedure Care
    At the Care Center
    The staff may provide the following care to make you more comfortable and help your recovery:
    • Pain medications and IV fluids
    • Ice pack and other scrotal support
    You will be able to leave when the anesthesia has worn off and you can walk.
    During your stay, the hospital staff will take steps to reduce your chance of infection such as:
    • Washing their hands
    • Wearing gloves or masks
    • Keeping your incisions covered
    There are also steps you can take to reduce your chances of infection such as:
    • Washing your hands often and reminding visitors and healthcare providers to do the same
    • Reminding your healthcare providers to wear gloves or masks
    • Not allowing others to touch your incisions
    At Home
    When you return home, do the following to help ensure a smooth recovery:
    • Walking and light activity is important. Avoid strenuous activities and heavy lifting for a few weeks.
    • Swelling and soreness is normal. Use ice packs as advised. Your doctor may recommend that you wear snug-fitting underwear and a jock strap for the first few days.
    • Follow incision care instructions to avoid infection.
  • Call Your Doctor

    It is important to monitor your recovery. Alert your doctor to any problems. If any of the following occur, call your doctor:
    • Increasing pain, discharge, redness, or swelling at the incision site
    • Pus or odor from the incision site
    • A lot of bleeding
    • Stitches loosen or fall out
    • Signs of infection, including fever and chills
    If you think you have an emergency, call for medical help right away.
  • RESOURCES

    Testicular Cancer Resource Center http://tcrc.acor.org

    Urology Care Foundation http://www.urologyhealth.org

    CANADIAN RESOURCES

    Canadian Cancer Society http://www.cancer.ca

    Health Canada http://www.hc-sc.gc.ca

    References

    Orchiectomy surgery. St. Joseph’s Healthcare Hamilton website. Available at: http://www.stjoes.ca/patients-visitors/patient-education/patient-education-k-o. Accessed December 31, 2014.

    Testicular cancer treatments: the inguinal orchiectomy. Testicular Cancer Resource Center website. Available at: http://tcrc.acor.org/orch.html. Updated December 9, 2012. Accessed December 31, 2014.

    6/6/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Mills E, Eyawo O, et al. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.

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