Orquectomy is surgery in which one or both testicles are removed. Usually, this surgery is done to treat or prevent the spread of prostate cancer or to treat or prevent test cancer and breast cancer in men, as it is the testes that produce most of testosterone, which is a hormone. that accelerates the growth of these cancers.
In addition, this procedure can also be used for people who intend to switch from male to female, in order to reduce the amount of testosterone in the body.
There are several types of orchidectomy, depending on the purpose of the procedure:
In this type of surgery, one or both testicles are removed from a small cut in the scrotum, which can be done to treat breast or prostate cancer, in order to reduce the amount of testosterone produced by the body. Find out all about prostate cancer.
Radical inguinal orchidectomy is performed by making an incision in the abdominal area and not in the scrotum. Orchidectomy is usually performed this way, when a lump is found in a testicle, for example, so that you can analyze the tissue and see if you have cancer, because a regular biopsy can spread it throughout your body.
This procedure is also commonly used for people who want to change their gender.
In this procedure, tissue is removed from inside the testicles, the region that produces sperm and testosterone, preserving the testicular capsule, epididioma and spermatic cord.
Bilateral orchidectomy is surgery in which both testicles are removed, which can occur in cases of prostate cancer, breast cancer or in people who intend to change sex. Learn more about gender dysphoria.
Usually, the person is discharged immediately after surgery, however, it is necessary to return to the hospital the next day to confirm that everything is ok. Recovery can take between 2 weeks and 2 months.
Within a week of surgery, your doctor may recommend applying ice to the area to relieve swelling, wash the area with mild soap, keep the area dry and covered with gauze, use only the creams and ointments recommended by your doctor, and take painkillers and anti-inflammatory drugs that reduce pain and inflammation.
You should also avoid lifting heavy objects, lifting weights, or having sex until the incision has healed. If the person has difficulty evacuating, they can try taking a mild laxative to avoid excessive stress.
Your doctor may also recommend using a scrotum support, which should be used for approximately 2 days.
It is very important to speak with your doctor if any of these effects occur, in order to establish solutions to maintain a good quality of life.