Treatment

Orchidectomy

Overview

Orchidectomy is also known as orchiectomy, orchectomy or testicle removal surgery, it is a medical procedure that involves the surgical removal of one or both testicles. This treatment may be needed for various medical conditions such as testicular cancer, severe trauma, chronic pain or as part of gender affirmation surgery. The procedure can be unilateral (one testicle) or bilateral orchiectomy (both testicles removed).

Sometimes, people may hear different terms like orchiotomy, testicular removal surgery or even casual phrases like balls removed, but they all refer to the same or similar procedures under the umbrella of orchidectomy.

This is a safe and effective treatment that can significantly improve health, reduce pain or support hormonal or cancer management when needed.

Why Orchidectomy Treatment is Required?

• To treat testicular cancer or reduce the risk of cancer spreading
• For patients with chronic testicular pain not responding to other treatments
• As part of prostate cancer treatment, to reduce testosterone levels
• In cases of serious injury or infection to the testicles
• For individuals undergoing gender-affirming surgery
• To manage hormone-sensitive conditions
• To prevent complications from testicular torsion
• To reduce discomfort or swelling from balls dropping abnormally

Key Advantages of Orchidectomy Treatment

• Helps in cancer management and prevention
• Reduces pain and swelling from testicular disorders
• Supports hormone control in prostate cancer and gender transition
• A simple and low-risk surgery with fast recovery
• Permanent solution for recurrent testicular issues
• May improve overall quality of life in certain medical conditions
• Reduces the need for long-term medication in some cancer therapies
• Helps in controlling testosterone levels naturally

How Should You Prepare Yourself Before Orchidectomy Treatment

• Discuss your goals and concerns with your doctor
• Understand the orchiectomy definition and what it involves
• Complete any blood tests or imaging as advised
• Stop certain medications if instructed for example blood thinners
• Avoid eating or drinking for a specific period before surgery
• Arrange for someone to accompany you home post-surgery
• Mentally prepare for the emotional and hormonal changes that may follow
• Clarify whether you are having unilateral or bilateral orchiectomy

How Orchidectomy Treatment is Performed?

• The procedure is typically done under local or general anesthesia
• A small incision is made in the scrotum or lower abdomen
• The testicle(s) and spermatic cord are carefully removed
• The incision is then closed with sutures
• It usually takes 30 to 60 minutes depending on the complexity
• You may be given the option of inserting a testicular prosthesis

What You Can Expect Before, During and After Procedure?

• Before the Procedure
• Medical evaluation and discussion about the type of surgery
• Informed consent and clear explanation of testicle removal surgery
• Fasting instructions and pre-operative checkups
• During the Procedure
• You will be under anesthesia
• The surgeon performs the procedure to remove testicles safely
• Surgical area is cleaned and stitched up properly
• After the Procedure
• Short hospital stay or same-day discharge in many cases
• Swelling, mild pain, or discomfort for a few days
• Instructions on wound care and activity restrictions
• Follow-up visits to monitor healing
• Emotional or hormonal changes, especially after bilateral orchiectomy

Risk and Potential Complications

• Infection or bleeding at the surgical site
• Pain or swelling after surgery
• Emotional distress or adjustment after testicular loss
• Risk of blood clots (rare)
• Hormonal imbalance if both testicles are removed
• Decreased libido or fertility depending on the surgery type
• Need for hormone replacement therapy in bilateral cases
• Minor risk of reaction to anesthesia

Results/Outcomes

• High success rate in treating testicular cancer or pain
• Many patients return to normal life within a few weeks
• Hormonal balance can be managed with medications, if needed
• Improved quality of life and relief from symptoms
• Emotional support or counseling may enhance recovery
• For gender-affirming purposes, it plays a crucial role in transition journey