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Orchiectomy Surgery

All people who are assigned male at birth have testicles. Testicles or testes are two small glandular organs that hang in the scrotum- a skin sac lying below the penis. Their role is to produce male sex hormones (testosterone) and sperm. Testicles are even present in transwomen.

There are cases of people assigned male at birth suffering from testicular cancer, prostate cancer, or breast cancer and wish to save their lives. Moreover, some trans women want to affirm their gender as female and want to get rid of their testicles. In either case, Testicle Removal or Orchiectomy Surgery in Hyderabad performed at Arete Hospitals can help.

Arete Hospitals, is famed for conducting the best, cost-effective orchidectomy or Orchiectomy. The hospital’s urology department has a panel of top-notch urologists,oncologists, and Best Orchidectomy Specialists / Doctors in Hyderabad who utilise advanced technologies to ensure quality care to their patients. 

Benefits of Orchiectomy

Orchidectomy is beneficial in certain medical conditions such as testicular cancer and prostate cancer. For testicular cancer patients, Orchiectomy Surgery in Hyderabad is very effective in obtaining a diagnosis and removal of the tumour. In the case of other cancers like prostate cancer or breast cancer, orchidectomy is very effective to lower testosterone levels in the patient’s body as a part of the patient’s treatment plan.

Orchidectomy or Testicular Scrotal Surgery in Hyderabad can even be a part of gender affirmation surgery for transgender women. This surgery can help reduce the need for long-term hormone therapy in transgender women. Hormone therapy includes using drugs or supplements to lower androgen levels and increase oest-rogen levels. 

What is Orchiectomy?

Orchidectomy, is a major operation to remove one or both testicles. It is carried out in a hospital or at a surgical centre, usually as an outpatient procedure.

Before Orchiectomy

To prepare for Orchiectomy, the patient must:

  • Understand the details of the procedure, including its benefits and risks.
  • Stop taking any medications or supplements that may increase the risk of bleeding during surgery.  
  • Look for someone to drive back home after the surgery.
  • Stop eating or drinking 6-8 hours before the scheduled time of surgery.
  • Do not shave the area around the testicles and penis. The doctor or nurse will do it on the day of the surgery.
  • Take a shower or bath before coming for the procedure. Avoid applying any lotions or fragranced products. Do not wear any jewellery, contact lens, or ear piercings on the day of the surgery.

What Does Orchiectomy Involve?

Orchidectomy is performed on a patient who has received general anaesthesia to ensure comfort throughout the surgery.

During Orchidectomy, the Orchiectomies Doctors in Hyderabad first cleans the site of the operation and then makes an incision. The site of the incision depends upon the surgical technique being performed. Through the cut, the surgeon removes the testicle. In case the patient needs a prosthetic testicle, the surgeon places a new testicle filled with saline, in the patient’s scrotum. At last, the surgeon closes the incision using dissolvable sutures. The entire procedure usually lasts for half an hour to one hour. 

Types of Orchiectomy

Depending upon the patient’s condition and the realistic goal that the patient is trying to achieve with Orchiectomy, the different types of Orchidectomy include:

Simple orchiectomy- In this surgery to remove your testicles, one or both affected testicles are taken out through a small cut made in the scrotum of the patient. It may be performed to treat prostate or breast cancer when the surgeon aims for reducing testosterone production.

Radical inguinal orchiectomy- This operation involves the removal of one or both affected testicles as well as the spermatic cord. The spermatic cord carries semen from the testicles to the penis and is composed of blood vessels and nerves. Both the spermatic cord and affected testicle are removed through a small cut in the patient’s lower abdomen, specifically the pubic area.

Radical inguinal orchiectomy is a standard surgery for patients noticing a lump in their testicles or when the surgeon needs to diagnose testicular cancer by testing testicular tissue. It may be performed for diagnosis because regular biopsy by taking testicular tissue samples may cause cancer cells to spread. The surgery may even be appropriate for male-to-female transition.

Subcapsular orchidectomy- In this surgery, the surgeon removes the tissues surrounding the testicles from the scrotum, keeping the scrotum intact. There is no noticeable evidence of anything removed after such an operation.

Bilateral orchiectomy- This surgery involves the removal of both affected testicles. It is recommended for patients having prostate cancer or those experiencing male-to-female transition.

Good Candidates for Orchiectomy

  • People who want to diagnose or treat testicular cancer
  • Males who want to treat their prostate or breast cancer by lowering testosterone hormone levels in their bodies
  • Transgender women who want to undergo gender transition
  • Men who want to remove their undescended testicles or damaged testicles following sports injuries or other accidental injuries
  • People who are in good general health and do not have cancer spreading beyond their testicles or prostate gland.

After Discharge

  • Keep the body well hydrated and eat a proper diet. Add fibre-rich foods to the diet to avoid constipation. Avoid pushing too hard to pass poop when having bowel movements.
  • Take pain-relieving medications to alleviate pain, tenderness, or any other discomfort.
  • Apply ice packs after every 20 minutes several times for initial 1-2 days to get relief from swelling.
  • Keep the operation site clean and dry. When taking a shower, use mild soap and normal-temperature water as well as cover the operated area with gauze.
  • Avoid swimming, using a hot tub, or doing anything where incisions may get soaked in water.
  • Wear a jock strap or snug underwear to provide support to the scrotum for about 48 hours after surgery. 
  • Wear loose-fitting clothes and for a couple of weeks avoid strenuous activities, heavy weight lifting, or having sex.
  • Schedule follow-up visits with the urologist in Hyderabad at Arete Hospitals when recommended to check on the progress of recovery.

Cost of Orchiectomy in Hyderabad

Testicle Removal Surgery cost in Hyderabad varies for patients, depending upon the following aspects: 

  • Duration of stay for recovery and facilities used
  • Patient’s health condition
  • The surgeon’s expertise and experience
  • The anaesthesiologists fee
  • Insurance coverage.

To get a realistic idea of the cost of Orchidectomy at Arete Hospitals, contact our experts and billing disk representatives.

Effectiveness of Orchiectomy

Orchidectomy is very effective in controlling the spread or reducing symptoms of breast and prostate cancer in cases wherein anti-androgen hormone therapy is riskier. There are no such side effects like blood clots, allergic reactions, or damage to the kidneys, thyroid, or liver as seen with hormone therapy. Moreover, orchidectomy is highly effective in curing testicular cancer.

Risks and Complications Associated with Orchiectomy

  • Orchidectomy, just like any other surgical procedure, has some risks such as bleeding and infection. Some patients report experiencing bothersome swelling in their scrotum. The complications or side effects of Orchidectomy depend upon the type of surgery the patient undergoes and whether one or both testicles of the patient is being removed.
  • Patients who have undergone bilateral orchiectomy may not produce sperm and thus become infertile.

Side effects of Orchidectomy may be due to reduced andr-ogen levels. Rarely, the drop in testosterone levels and other male sex hormone levels could result in:

  • Fatigue
  • Depression
  • Hot flashes
  • Osteoporosis
  • Low libido (sex drive)
  • Low muscle mass
  • Erectile dysfunction.
Frequently Asked Questions

1. How long does it take to recover after an Orchidectomy?

The patients can quickly feel better. However, complete recovery is possible after several weeks of the surgery. Contact doctors at Arete Hospitals, Testicular Surgery Hospital in Hyderabad for more details.

2. Will I continue to have penile erections after my Orchiectomy?

Orchidectomy leads to an absence of testosterone which can consequently affect male sexual functions and lower sex drive (libido) of men. The rate of such consequences varies from one person to another. You can experience erectile dysfunction after your Orchiectomy.

3. Is Orchidectomy safe?

The orchidectomy procedure is 100% safe procedure if performed by a skilled, experienced, and Best Orchiectomy Doctor in Hyderabad on a patient not contraindicated for the procedure. Patients who undergo orchidectomy as a part of their cancer treatment, have higher chances of dying from cancer rather than the operation. Similarly, the morbidity and mortality are very low for patients undergoing orchidectomy as part of gender affirmation surgery as compared to other procedures.

Arete Hospitals is a top choice for Orchiectomy surgery due to its renowned medical staff, state-of-the-art facilities, and a track record of successful procedures. Their expertise in urological surgeries, commitment to patient care, and advanced technology make it a trusted destination for this procedure, ensuring the best possible outcome.

For more details contact Orchiectomy Surgeon in Hyderabad at Arete Hospitals.

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