What Is Orchiectomy?

Orchiectomy is the surgical removal of one or both testicles. This procedure is typically performed for conditions such as testicular cancer, testicular torsion (twisting of the testicle), or other health issues related to the testicles. Orchiectomy is carried out by surgeons specialized in urological surgery.

Orchiectomy can be performed for various reasons. The most common reasons are:

• Testicular Cancer: Testicular cancer is the most frequent reason for orchiectomy. The surgery aims to completely remove the cancerous tissue and prevent the spread of the disease.
• Testicular Torsion: Testicular torsion occurs when the testicle twists around itself, cutting off blood flow. It is an emergency, and orchiectomy may be required to prevent loss of the testicle.
• Other Reasons:
  • Severe testicular infections
  • Testicular trauma
  • Prostate cancer treatment (as part of hormonal therapy)
  • Gender reassignment surgery

Orchiectomy can be performed using two different methods:

• Inguinal Orchiectomy: An incision is made in the groin, and the testicle is removed through this incision. This method is more commonly used in testicular cancer.
• Scrotal Orchiectomy: An incision is made in the scrotum, and the testicle is removed through this incision. This method is more commonly used in testicular torsion or other emergencies.

The choice of method depends on the patient’s condition, the surgeon’s experience, and the hospital’s facilities.

Evaluation and Tests:
Before the surgery, the patient’s overall health is assessed, and a series of tests are performed. These tests may include blood tests, urine tests, imaging tests (ultrasound, CT, MRI), and testicular biopsy.

Preparation Process:
Prior to the surgery, the patient may need to fast for a certain period. Additionally, some medications may need to be temporarily discontinued. Your doctor will provide detailed information about the preoperative preparation process.

Recovery Process:
After the surgery, you may need to stay in the hospital for a short period. The recovery process varies from person to person but generally takes a few weeks. During this time, you can use pain relievers and should limit your activities according to your doctor’s recommendations.

Possible Complications:
Rare complications may occur after orchiectomy, including bleeding, infection, wound healing problems, scrotal hematoma (blood accumulation in the scrotum), and anesthesia-related complications.

Hormone Therapy:
If both testicles are removed, testosterone production in the body decreases. In this case, hormone therapy may be necessary to maintain normal testosterone levels.

Prosthetic Testicle:
For cosmetic purposes, a prosthetic testicle can be implanted. This helps maintain the normal appearance of the scrotum.

As with any surgical procedure, orchiectomy carries certain risks. These may include bleeding, infection, wound healing problems, scrotal hematoma, and anesthesia-related complications. However, these complications are rare, and the risk is lower when the surgery is performed by an experienced surgeon. During the preoperative consultation, your surgeon will provide detailed information about the risks of the surgery.

Orchiectomy can affect sexual desire and performance. If both testicles are removed, testosterone production decreases, which can lead to reduced libido, erectile dysfunction, and other sexual problems. However, these issues can usually be managed with hormone therapy. If only one testicle is removed, sexual function typically does not change significantly.

A Life Health Group has a team of experienced urological surgeons specialized in orchiectomy. We offer personalized treatment plans using the latest technology and methods. Our patients receive comprehensive support and follow-up services before and after surgery.

Advantages Offered by A Life Health Group:

• Experienced Urological Surgeons: Our expert and experienced surgeons determine the most suitable treatment method to help you regain your health.
• Latest Technology and Methods: A Life Health Group uses the latest technology and techniques in orchiectomy surgeries.
• Personalized Treatment Plans: Every patient’s needs are different. Therefore, we create personalized treatment plans for our patients.
• Comprehensive Support and Follow-Up: We provide extensive support and follow-up services to our patients before and after surgery.
• Comfortable and Safe Environment: All procedures are performed in a modern and comfortable environment. Patient safety and comfort are our top priorities.

1. How long does an orchiectomy surgery take?
   The duration of the surgery depends on the type and method of the procedure. It generally takes 30–60 minutes.
2. How long will I stay in the hospital after an orchiectomy?
   The hospital stay varies depending on the type of procedure and recovery process. Generally, discharge on the same day is possible.
3. Will I have pain after the orchiectomy?
   Some pain after the surgery is normal. This pain can be managed with pain relievers.
4. What should I pay attention to after the orchiectomy?
   Follow your doctor’s recommendations, avoid heavy lifting, keep the wound clean, and do not miss your follow-up appointments.
5. Can I live with one testicle?
   Yes, most men can live a normal life with one testicle. Hormone production and sexual function are generally not affected.
6. What happens if both testicles are removed?
   If both testicles are removed, testosterone production in the body decreases. Hormone therapy may be necessary. Additionally, a prosthetic testicle can be implanted for cosmetic purposes.
7. Can cancer recur after an orchiectomy?
   The risk of cancer recurrence depends on the type and stage of cancer. Your doctor can provide more information on this topic.
8. Can I work after the orchiectomy?
   Depending on your recovery, you can usually return to work within a few days.

At A Life Health Group, we have a specialized team for orchiectomy and other urological surgical procedures. You can contact us for your health needs.