Orchiectomy





Definition

Orchiectomy is the surgical removal of one or both testicles, or testes, in the human male. It is also called an orchidectomy, particularly in British publications. The

In an orchiectomy, the scrotum is cut open (A). Testicle covering is cut to expose the testis and spermatic cord (B). The cord is tied and cut, removing the testis (C), and the wound is repaired (D). (Illustration by GGS Inc.)
In an orchiectomy, the scrotum is cut open (A). Testicle covering is cut to expose the testis and spermatic cord (B). The cord is tied and cut, removing the testis (C), and the wound is repaired (D). (
Illustration by GGS Inc.
)
removal of both testicles is known as a bilateral orchiectomy, or castration, because the person is no longer able to reproduce. Emasculation is another word that is sometimes used for castration of a male. Castration in women is the surgical removal of both ovaries (bilateral oophorectomy ).


Purpose

An orchiectomy is done to treat cancer or, for other reasons, to lower the level of testosterone, the primary male sex hormone, in the body. Surgical removal of a testicle is the usual treatment if a tumor is found within the gland itself, but an orchiectomy may also be performed to treat prostate cancer or cancer of the male breast, as testosterone causes these cancers to grow and metastasize (spread to other parts of the body). An orchiectomy is sometimes done to prevent cancer when an undescended testicle is found in a patient who is beyond the age of puberty.

A bilateral orchiectomy is commonly performed as one stage in male-to-female (MTF) gender reassignment surgery. It is done both to lower the levels of male hormones in the patient's body and to prepare the genital area for later operations to construct a vagina and external female genitalia.

Some European countries and four states in the United States (California, Florida, Montana, and Texas) allow convicted sex offenders to request surgical castration to help control their sexual urges. This option is considered controversial in some parts of the legal system. A small number of men with very strong sex drives request an orchiectomy for religious reasons; it should be noted, however, that official Roman Catholic teaching is opposed to the performance of castration for spiritual purity.

Demographics

Cancer

Cancers in men vary widely in terms of both the numbers of men affected and the age groups most likely to be involved. Prostate cancer is the single most common malignancy affecting American men over the age of 50; about 220,000 cases are reported each year. According to the Centers for Disease Control and Prevention (CDC), 31,000 men in the United States die every year from prostate cancer. African-American men are almost 70% more likely to develop prostate cancer than either Caucasian or Asian-American men; the reasons for this difference are not yet known. Other factors that increase a man's risk of developing prostate cancer include a diet high in red meat, fat, and dairy products, and a family history of the disease. Men whose father or brother(s) had prostate cancer are twice as likely as other men to develop the disease themselves. Today, however, there are still no genetic tests available for prostate cancer.

Testicular cancer, on the other hand, frequently occurs in younger men; in fact, it is the most common cancer diagnosed in males between the ages of 15 and 34. The rate of new cases in the United States each year is about 3.7 per 100,000 people. The incidence of testicular cancer has been rising in the developed countries at a rate of about 2% per year since 1970. It is not yet known whether this increase is a simple reflection of improved diagnostic techniques or whether there are other causes. There is some variation among racial and ethnic groups, with men of Scandinavian background having higher than average rates of testicular cancer, and African-American men having a lower than average incidence. Testicular cancer occurs most often in males in one of three age groups: boys 10 years old or younger; adult males between the ages of 20 and 40; and men over 60.

Other risk factors for testicular cancer include:

  • Cryptorchidism, which is a condition in which a boy's testicles do not move down from the abdomen into the scrotum at the usual point in fetal development. It is also called undescended testicle(s). Ordinarily, the testicles descend before the baby is born; however, if the baby is born prematurely, the scrotal sac may be empty at the time of delivery. About 3–4% of full-term male infants are born with undescended testicles. Men with a history of childhood cryptorchidism are three to 14 times more likely to develop testicular cancer.
  • Family history of testicular cancer.
  • A mother who took diethylstilbestrol (DES) during pregnancy. DES is a synthetic hormone that was prescribed for many women between 1938 and 1971 to prevent miscarriage. It has since been found to increase the risk of certain types of cancer in the offspring of these women.
  • Occupational and environmental factors. Separate groups of researchers in Germany and New Zealand reported in 2003 that firefighters have an elevated risk of testicular cancer compared to control subjects. The specific environmental trigger is not yet known.

Gender reassignment

Statistics for orchiectomies in connection with gender reassignment surgery are difficult to establish because most patients who have had this type of surgery prefer to keep it confidential. Persons undergoing the hormonal treatments and periods of real-life experience as members of the other sex that are required prior to genital surgery frequently report social rejection, job discrimination, and other negative consequences of their decision. Because of widespread social disapproval of surgical gender reassignment, researchers do not know the true prevalence of gender identity disorders in the general population. Early estimates were 1:37,000 males and 1:107,000 females. A recent study in the Netherlands, however, maintains that a more accurate estimation is 1:11,900 males and 1:30,400 females. In any case, the number of surgical procedures is lower than the number of patients diagnosed with gender identity disorders.

Description

There are three basic types of orchiectomy: simple, subcapsular, and inguinal (or radical). The first two types are usually done under local or epidural anesthesia, and take about 30 minutes to perform. An inguinal orchiectomy is sometimes done under general anesthesia, and takes between 30 minutes and an hour to complete.


Simple orchiectomy

A simple orchiectomy is performed as part of gender reassignment surgery or as palliative treatment for advanced cancer of the prostate. The patient lies flat on an operating table with the penis taped against the abdomen. After the anesthetic has been given, the surgeon makes an incision in the midpoint of the scrotum and cuts through the underlying tissue. The surgeon removes the testicles and parts of the spermatic cord through the incision. The incision is closed with two layers of sutures and covered with a surgical dressing. If the patient desires, a prosthetic testicle can be inserted before the incision is closed to give the appearance of a normal scrotum from the outside.

Subcapsular orchiectomy

A subcapsular orchiectomy is also performed for treatment of prostate cancer. The operation is similar to a simple orchiectomy, with the exception that the glandular tissue is removed from the lining of each testicle rather than the entire gland being removed. This type of orchiectomy is done primarily to keep the appearance of a normal scrotum.


Inguinal orchiectomy

An inguinal orchiectomy, which is sometimes called a radical orchiectomy, is done when testicular cancer is suspected. It may be either unilateral, involving only one testicle, or bilateral. This procedure is called an inguinal orchiectomy because the surgeon makes the incision, which is about 3 in (7.6 cm) long, in the patient's groin area rather than directly into the scrotum. It is called a radical orchiectomy because the surgeon removes the entire spermatic cord as well as the testicle itself. The reason for this complete removal is that testicular cancers frequently spread from the spermatic cord into the lymph nodes near the kidneys. A long non-absorbable suture is left in the stump of the spermatic cord in case later surgery is necessary.

After the cord and testicle have been removed, the surgeon washes the area with saline solution and closes the various layers of tissues and skin with various types of sutures. The wound is then covered with sterile gauze and bandaged.


Diagnosis/Preparation

Diagnosis


CANCER. The doctor may suspect that a patient has prostate cancer from feeling a mass in the prostate in the course of a rectal examination, from the results of a transrectal ultrasound (TRUS), or from elevated levels of prostate-specific antigen (PSA) in the patient's blood. PSA is a tumor marker, or chemical, in the blood that can be used to detect cancer and monitor the results of therapy. A definite diagnosis of prostate cancer, however, requires a tissue biopsy. The tissue sample can usually be obtained with the needle technique. Testicular cancer is suspected when the doctor feels a mass in the patient's scrotum, which may or may not be painful. In order to perform a biopsy for definitive diagnosis, however, the doctor must remove the affected testicle by radical orchiectomy.

GENDER REASSIGNMENT. Patients requesting gender reassignment surgery must undergo a lengthy process of physical and psychological evaluation before receiving approval for surgery. The Harry Benjamin International Gender Dysphoria Association (HBIGDA), which is presently the largest worldwide professional association dealing with the treatment of gender identity disorders, has published standards of care that are followed by most surgeons who perform genital surgery for gender reassignment. HBIGDA stipulates that a patient must meet the diagnostic criteria for gender identity disorders as defined by either the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) or the International Classification of Diseases–10 (ICD-10).


Preparation

All patients preparing for an orchiectomy will have standard blood and urine tests before the procedure. They are asked to discontinue aspirin-based medications for a week before surgery and all non-steroidal anti-inflammatory drugs (NSAIDs) two days before the procedure. Patients should not eat or drink anything for the eight hours before the scheduled time of surgery.

Most surgeons ask patients to shower or bathe on the morning of surgery using a special antibacterial soap. They should take extra time to lather, scrub, and rinse their genitals and groin area.

Patients who are anxious or nervous before the procedure are usually given a sedative to help them relax.

CANCER. Patients who are having an orchiectomy as treatment for testicular cancer should consider banking sperm if they plan to have children following surgery. Although it is possible to father a child if only one testicle is removed, some surgeons recommend banking sperm as a precaution in case the other testicle should develop a tumor at a later date.

GENDER REASSIGNMENT. Most males who have requested an orchiectomy as part of male-to-female gender reassignment have been taking hormones for a period of several months to several years prior to surgery, and have had some real-life experience dressing and functioning as women. The surgery is not performed as an immediate response to the patient's request.

Because the standards of care for gender reassignment require a psychiatric diagnosis as well as a physical examination , the surgeon who is performing the orchiectomy should receive two letters of evaluation and recommendation by mental health professionals, preferably one from a psychiatrist and one from a clinical psychologist.


Aftercare

Patients who are having an orchiectomy in an ambulatory surgery center or other outpatient facility must have a friend or family member to drive them home after the procedure. Most patients can go to work the following day, although some may need an additional day of rest at home. Even though it is normal for patients to feel nauseated after the anesthetic wears off, they should start eating regularly when they get home. Some pain and swelling is also normal; the doctor will usually prescribe a pain-killing medication to be taken for a few days.

Other recommendations for aftercare include:

  • Drinking extra fluids for the next several days, except for caffeinated and alcoholic beverages.
  • Avoiding sexual activity, heavy lifting, and vigorous exercise until the follow-up appointment with the doctor.
  • Taking a shower rather than a tub bath for a week following surgery to minimize the risk of absorbable stitches dissolving prematurely.
  • Applying an ice pack to the groin area for the first 24–48 hours.
  • Wearing a jock strap or snug briefs to support the scrotum for two weeks after surgery.

Some patients may require psychological counseling following an orchiectomy as part of their long-term aftercare. Many men have very strong feelings about any procedure involving their genitals, and may feel depressed or anxious about their bodies or their relationships after genital surgery. In addition to individual psychotherapy, support groups are often helpful. There are active networks of prostate cancer support groups in Canada and the United States as well as support groups for men's issues in general.

Long-term aftercare for patients with testicular cancer includes frequent checkups in addition to radiation treatment or chemotherapy. Patients with prostate cancer may be given various hormonal therapies or radiation treatment.

Risks

Some of the risks for an orchiectomy done under general anesthesia are the same as for other procedures. They include deep venous thrombosis, heart or breathing problems, bleeding, infection, or reaction to the anesthesia. If the patient is having epidural anesthesia, the risks include bleeding into the spinal canal, nerve damage, or a spinal headache.

Specific risks associated with an orchiectomy include:

  • loss of sexual desire (This side effect can be treated with hormone injections or gel preparations.)
  • impotence
  • hot flashes similar to those in menopausal women, controllable by medication
  • weight gain of 10–15 lb (4.5–6.8 kg)
  • mood swings or depression
  • enlargement and tenderness in the breasts
  • fatigue
  • loss of sensation in the groin or the genitals
  • osteoporosis (Men who are taking hormone treatments for prostate cancer are at greater risk of osteoporosis.)

An additional risk specific to cancer patients is recurrence of the cancer.


Normal results

Cancer

Normal results depend on the location and stage of the patient's cancer at the time of surgery. Most prostate cancer patients, however, report rapid relief from cancer symptoms after an orchiectomy. Patients with testicular cancer have a 95% survival rate five years after surgery if the cancer had not spread beyond the testicle. Metastatic testicular cancer, however, has a poorer prognosis.


Gender reassignment

Normal results following orchiectomy as part of a sex change from male to female are a drop in testosterone levels with corresponding decrease in sex drive and gradual reduction of such masculine characteristics as beard growth. The patient may choose to have further operations at a later date.


Morbidity and mortality rates

Orchiectomy by itself has a very low rate of morbidity and mortality. Patients who are having an orchiectomy as part of cancer therapy have a higher risk of dying from the cancer than from testicular surgery.

The morbidity and mortality rates for persons having an orchiectomy as part of gender reassignment surgery are about the same as those for any procedure involving general or epidural anesthesia.


Alternatives

Cancer

There is no effective alternative to radical orchiectomy in the treatment of testicular cancer; radiation and chemotherapy are considered follow-up treatments rather than alternatives.

There are, however, several alternatives to orchiectomy in the treatment of prostate cancer:

  • watchful waiting
  • hormonal therapy (The drugs that are usually given for prostate cancer are either medications that oppose the action of male sex hormones [anti-androgens, usually flutamide or nilutamide] or medications that prevent the production of testosterone [goserelin or leuprolide acetate].)
  • radiation treatment
  • chemotherapy

Gender reassignment

The primary alternative to an orchiectomy for gender reassignment is hormonal therapy. Most patients seeking MTF gender reassignment begin taking female hormones (estrogens) for three to five months minimum before requesting genital surgery. Some persons postpone surgery for a longer period of time, often for financial reasons; others choose to continue on estrogen therapy indefinitely without surgery.

See also Orchiopexy .


Resources

BOOKS

"Breast Disorders: Breast Cancer in Men." Section 18, Chapter 242 in The Merck Manual of Diagnosis and Therapy, edited by Mark H. Beers and Robert Berkow. Whitehouse Station, NJ: Merck Research Laboratories, 1999.

"Congenital Anomalies: Renal and Genitourinary Defects." Section 19, Chapter 261 in The Merck Manual of Diagnosis and Therapy, edited by Mark H. Beers and Robert Berkow. Whitehouse Station, NJ: Merck Research Laboratories, 1999.

Morris, Jan. Conundrum. New York: Harcourt Brace Jovanovich, Inc., 1974.

"Principles of Cancer Therapy: Other Modalities." Section 11, Chapter 144 in The Merck Manual of Diagnosis and Therapy, edited by Mark H. Beers and Robert Berkow. Whitehouse Station, NJ: Merck Research Laboratories, 1999.

"Sexual and Gender Identity Disorders." In Diagnostic and Statistical Manual of Mental Disorders, 4th edition, text revision. Washington, DC: American Psychiatric Association, 2000.


PERIODICALS

Berruti, A., et al. "Background to and Management of Treatment-Related Bone Loss in Prostate Cancer." Drugs and Aging, 19 (2002): 899–910.

Dawson, C. "Testicular Cancer: Seek Advice Early." Journal of Family Health Care, 12 (2002): 3.

Elert, A., K. Jahn, A. Heidenreich, and R. Hofmann. "The Familial Undescended Testis." [in German] Klinische Padiatrie, 215 (January–February 2003): 40–45.

Geldart, T. R., P. D. Simmonds, and G. M. Mead. "Orchidectomy after Chemotherapy for Patients with Metastatic Testicular Germ Cell Cancer." BJU International, 90 (September 2002): 451–455.

Incrocci, L., W. C. Hop, A. Wijnmaalen, and A. K. Slob. "Treatment Outcome, Body Image, and Sexual Functioning After Orchiectomy and Radiotherapy for Stage I-II Testicular Seminoma." International Journal of Radiation Oncology, Biology, Physics, 53 (August 1, 2002): 1165–1173.

Landen, M., et al. "Done Is Done—and Gone Is Gone. Sex Reassignment is Presently the Best Cure for Transsexuals." [in Swedish] Lakartidningen, 98 (July 25, 2001): 3322–3326.

Papanikolaou, Frank, and Laurence Klotz. "Orchiectomy, Radical." eMedicine, , October 3, 2001 [March 30, 2003]. http://www.emedicine.com/med/topic3063.htm .

Roberts, L. W., M. Hollifield, and T. McCarty. "Psychiatric Evaluation of a 'Monk' Requesting Castration: A Patient's Fable, with Morals." American Journal of Psychiatry, 155 (March 1998): 415–420.

Smith, M. R. "Osteoporosis and Other Adverse Body Composition Changes During Androgen Deprivation Therapy for Prostate Cancer." Cancer and Metastasis Reviews, 21 (2002): 159–166.

Stang, A., K. H. Jockel, C. Baumgardt-Elms, and W. Ahrens. "Firefighting and Risk of Testicular Cancer: Results from a German Population-Based Case-Control Study." American Journal of Industrial Medicine, 43 (March 2003): 291–294.

Stone, T. H., W. J. Winslade, and C. M. Klugman. "Sex Offenders, Sentencing Laws and Pharmaceutical Treatment: A Prescription for Failure." Behavioral Sciences and the Law, 18 (2000): 83–110.

Volm, M. D. "Male Breast Cancer." Current Treatment Options in Oncology, 4 (April 2003): 159–164.


ORGANIZATIONS

American Board of Urology (ABU). 2216 Ivy Road, Suite 210, Charlottesville, VA 22903. (434) 979-0059. http://www.abu.org .

American Cancer Society (ACS). (800) ACS-2345. http://www.cancer.org .

American Prostate Society. P. O. Box 870, Hanover, MD 21076. (800) 308-1106. http://www.ameripros.org .

Canadian Prostate Cancer Network. P. O. Box 1253, Lakefield, ON K0L 2H0 Canada. (705) 652-9200. http://www.cpcn.org .

Centers for Disease Control and Prevention (CDC) Cancer Prevention and Control Program. 4770 Buford Highway, NE, MS K64, Atlanta, GA 30341. (888) 842-6355. http://www.cdc.gov/cancer/comments.htm .

Harry Benjamin International Gender Dysphoria Association, Inc. (HBIGDA). 1300 South Second Street, Suite 180, Minneapolis, MN 55454. (612) 625-1500. http://www.hbigda.org .

National Cancer Institute (NCI). NCI Public Inquiries Office. Suite 3036A, 6116 Executive Boulevard, MSC8332, Bethesda, MD 20892-8322. (800) 4-CANCER or (800) 332-8615 (TTY). http://www.nci.nih.gov .


OTHER

Harry Benjamin International Gender Dysphoria Association (HBIGDA). Standards of Care for Gender Identity Disorders, 6th version, February, 2001 [April 1, 2003]. http://www.hbigda.org/socv6.html .

National Cancer Institute (NCI) Physician Data Query (PDQ). Male Breast Cancer: Treatment, December 9, 2002 [March 29, 2003]. <http://www.nci.nih.gov/cancerinfo/pdq/treatment/malebreast/healt professional> .

NCI PDQ. Testicular Cancer: Treatment, February 20, 2003 {March 29, 2003]. <http://www.nci.nih.gov/cancerinfo/pdq/treatment/testicular/healt professional> .


Rebecca Frey, PhD

WHO PERFORMS THE PROCEDURE AND WHERE IS IT PERFORMED?


Orchiectomy performed as part of cancer therapy may be done in a hospital under general anesthesia, but is most often done as an outpatient procedure in a urology clinic or similar facility. Most surgeons who perform orchiectomies to treat cancer are board-certified urologists or general surgeons.

Orchiectomies performed as part of gender reassignment surgery are usually done in clinics that specialize in genital surgery. The standards of care defined by the Harry Benjamin International Gender Dysphoria Association stipulate that the surgeon should be a board-certified urologist, gynecologist, plastic surgeon, or general surgeon, and that he or she must have undergone supervised training in genital reconstruction.

QUESTIONS TO ASK THE DOCTOR


  • How effective is an orchiectomy in preventing a recurrence of my cancer?
  • What side effects of this procedure am I most likely to experience?
  • How many orchiectomies have you performed?
  • Can you recommend a local men's network or support group?


User Contributions:

Rajesh
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May 13, 2008 @ 10:22 pm
After surgery what are its effect.
Surgery done on 13 years lod cild.
Udo Müller
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Aug 12, 2008 @ 12:12 pm
I am interested very much in an on both sides Orchiectomy and would want more information.
Tracy
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Sep 8, 2008 @ 1:13 pm
I really want a simply orchiectomy, so I can get of the spiro, I've been on 2mg a day of estrofem for the last year now. I need to progress. My chest is growing and sex drive has diminished all except for anal which I love! Can anyone near Nottingham help me?
Karen
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Nov 27, 2008 @ 4:16 pm
I had orchidectomy , but the surgery was in my middle scrotum, and my cremasteric fascia was out with the testicles , I didnt know if this cremasteric fascia is important to performance the vaginoplastya , I need to know .
Gayan
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Apr 13, 2009 @ 10:22 pm
I am like to know much about this.Please send me more about this.
Henri
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Apr 18, 2009 @ 4:04 am
I found the infofmation to be very helpful but what will happen to me if I choose not to take any hormone theropy after the orechietamy. Will I still find women attractive after words.
lucia
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Nov 30, 2009 @ 6:18 pm
I would like to know (in detail) how orchiectomy affects sexual functioning of the penis, prostate and anus (and specifically orgasm) if there is any sexual functioning left after orchiectomy. Could someone please...?
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Feb 10, 2010 @ 12:00 am
My son has suffered an injury to one of his testes, I found this site somewhat informative as we wait for the surgery to remove the dead testicle.
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Jun 10, 2010 @ 10:22 pm
52 yr old with long term testicle pain. pain has been slowly increasing for 15 to 20 yrs. pain is now constant about a 4to 5 on the a 10 pt scale. a 6year exposeure to asbestos 35 yrs ago. has cysts. what is the proper or most recomended why to procide with care.
Orville Schultz
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Jul 7, 2010 @ 10:22 pm
I would like to know how an Orchiectomy affects sexual functioning & orgasim? Orv
angel
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Sep 6, 2010 @ 11:11 am
I AM A MEDICAL TRAINEE. IS THERE SOMETHING CALLED CHEVASSE MANEUVER IN SURGERY FOR CANCER TESTIS? PLEASE LET ME KNOW...
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Dec 20, 2010 @ 8:08 am
I would like to know if I will be able to have any sexual function, erection after the procedure.
Is this the end of my sex life?
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Feb 24, 2011 @ 12:12 pm
IT MUST BE DESCRIBED THE PATIENT LIFESTYLE OR ITS EFFECT ON THE WHOLE BODY OF THE PATIENT AFTER ORCHIECTOMY. ADD IT TOO.
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Apr 17, 2011 @ 12:12 pm
For men having orchiectomy due to chronic pain or cancer should be well aware of the hormonal and psychological effects it can have. The groin will feel different after surgery and sexual stimulation may require "other" forms. Be sure the patient knows this if their partner is not open to "other" stimulation as an added part of sexual relations. It has been difficult for me to accept "no" from my wife of 35 years. Our sex life has virtually fallen to nothing due to her unwillingness to try other forms. It is frustrating.
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Aug 9, 2011 @ 12:12 pm
I am in need of an orchiectomy on my right testicle. Was wondering if the scrotum will be incised or whether the testicle will be removed, by going into the area above my penis?
How long is the recovery time.?

James
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Sep 19, 2011 @ 3:15 pm
are there surgeons who will perform an orchidectomy to reduce sexual drive which controls my life.
thks Steve
Jamie
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Jan 14, 2012 @ 8:08 am
I am a transsexual and I had a bilatral.There where some complications after the surgery.#1 I had a pool of blood wall itself off.It felt like there was still a testicle down there.Seven months later the Doctor removed it.#2 I had untracable amounts of Testosterone in my body,the side efects where awful..my hair started to fall out, very tired all the time, moody..very!.So I gave my OBGYN a call an she prescribed Androgel 1% 5mg once a day. after three months the side effects stopped. It's funny that I spent all that money to get rid of testosterone only to spend money to get it back..lol...Once all my hormone levels where balanced I feel great and I don't regret having it done
john
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Jun 30, 2012 @ 9:09 am
What is the type of anti-biotic treatment and for how long is this treatment (if any) recommended for orchiectomy.
DW
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Nov 5, 2012 @ 10:10 am
For what it's worth:
I am now in my late fifties and still very capable of physical intercourse. I was born 2 months premature (5 lbs at birth) and had only one descended testis. At the age of 9 years old my parents had a surgeon perform an inguinal orchiectomy on me for the removal of the undescended testis. My hospital stay was for a few days. Because it was nearly 40 years ago, laproscopic surgery was not yet developed. Therefore the surgical incision I have is nearly 4 inches in length.
I recall my physical experiences at the time of my childhood surgery quite well as it was and had remained a very traumatic life experience for me. The post operative pain I felt was predominately from the pronounced surgical wounds. I was not able to walk (put any weight on my left leg - left side of groin was surgical side) for several days without near debilitating results. As I say, this was in the days preceding laproscopic surgery, so the extent of the size of the incisions was large, meaning those abdominable muscles used in walking were protesting the pain of trying to accommodate walking.
Psychologically, I was too young to understand the function of testes so that part of it was lost on me at the time.
As I grew to my teenage years, I was conscious of my physical appearance, so participation in school sports meant cautious movements in the showers adjacent to the locker room so as not to draw attention to myself and possbile ridicule from others who didn't understand about premature births for boys resulting in this condition.
I never felt any lack of attraction (lust?) for the attractive girls so I never had any concern of lack of testosterone, I still don't!
As a young adult I had fathered 3 pregnancies in a relatively short period of time, such that I deliberately had a vasectomy at an early adult age to contend with my strong fertility. So for those readers who may have concerns that the removal of one testis is the loss of your masculinity, I can only tell you that as long as your other testis is "operational" you should be good to go. If you are in doubt about your verility, arrange with your Doctor to have your sperm count checked. They will look for "motility", that is how "friskey or lively" your sperm appear to be when viewed in the microcope! Good Luck!

D
HB1
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Jan 17, 2013 @ 1:13 pm
I have a letter from a psychiatrist to have a bilateral orchiectomy. Does anyone know a surgeon who would do the procedure in
SW Florida?
lebe
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Jan 31, 2013 @ 11:11 am
hi how long will i get side effects for if i get the sugery done and will i be able to take low dosages of hormone
becuse am sentive to high doasege but will i look fimmine and will i get trement to stop the side effects
ricki henrichsen
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Mar 27, 2013 @ 6:18 pm
im interested in a orchiectomy of both test. for transgender purp.
Kulkarni
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Jan 19, 2014 @ 7:19 pm
I want full details of the above procedure.I want to ask whether one can request the testicles removal out of fantasy..?
what are the side effects if both the testicles are removed..?


Thanks
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Jan 27, 2014 @ 8:20 pm
Orchiectomies in Australia for prostate cancer treatment are running at an estimated 125/year, down over 90% from 20 years ago. There is considerable variation between States. This compares with records of more than 60,000 prescriptions for Zolodex, the most common androgen deprivation treatment. Long term side physical side-effects are similar as between chemical and surgical castration, except the chemical method allows intermittent relief or discontinuance. The finality of the surgical castration method typically causes severe emotional problems. There have been some lone efforts to restrict the practise of surgical castration for prostate cancer, but with indifference from official and medical areas.
Raymond Fuller
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Mar 9, 2014 @ 4:04 am
I have no testicles left at age 61. I am still a man and feel fine. My sex drive is awsome and have zip problems with my wife. So if your testes need to go let go of them and enjoy life. There is a lot more to life than sex so my advice is get out there and get with it.
Kaylen
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Mar 11, 2014 @ 8:08 am
I just got a bilateral orchiectomy and its super swollen and the inflammation isn't going down. I'm taking anti inflammatory and pain killers. I saw the surgeon yesterday (6days) post op. And he says its normal and it'll go away... all it does is getting worse and the scrotum is getting bigger. Help please
sukant
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Jun 24, 2014 @ 6:06 am
Hernia & one of my testicle being removed 2 month back but still I am feeling pain so I want to know how I will get relax of it?
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Jul 28, 2014 @ 3:15 pm
I forgot to give you my number 561. 827 8040 I am tallinn you the truth of this am not lying on this. I want to cut them off.

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