Orchidectomy
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What is an Orchidectomy?
An Orchidectomy is an operation to remove one or both of the testicles. This may be done through a cut in your scrotum (scrotal incision) or groin (inguinal incision).
Your doctor may have discussed with you the possibility of having a prosthesis (fake testicle) inserted. If this option has been offered to you (depending on the reason for your operation), it may be done during the operation or maybe at a later date
Why do I need an Orchidectomy?
It should have been explained by your doctor but it can be performed due to various reasons:
- To remove a diseased testicle
- To remove a testicle because it is causing persistent pain.
- To remove a tumour in the testicle
In patients with prostate cancer both testicles are removed to control the disease by reducing the male hormone (testosterone) provided by the testicles.
What are the risks, and consequences of having an Orchidectomy?
Some bruising and discomfort around the wound and scrotum is quite common. The doctor will discuss: semen preservation, implant/prosthesis, hormone level tests, and future treatment
if cancer/suspected.
If you are concerned about any of these risks, or have any other queries, please speak to your consultant.
What happens during the operation?
The operation is performed as a day case, which means you will usually stay for part of the day or all day. If it is performed under a general anaesthetic, you will be asleep during the procedure. If you have a spinal anaesthetic, you will be awake during the procedure but you will have no sensation of pain below the waist.
The operation takes about one hour.
What should I expect after the operation?
- When the operation is over you will have your blood pressure, temperature and pulse and breathing regularly checked by the Nurse in the day unit.
- Your wound will also be checked for bleeding. Any dressing will be discussed at discharge.
- If you experience pain, please inform the nurse and pain killers will be offered to help you.
- You may start taking sips of water when you return from theatre and can eat and drink when you are fully awake.
- You may be offered a scrotal support but it is advisable to bring in briefs rather than boxer shorts to go home in for support and comfort.
- Stitches in the wound will be dissolvable and therefore do not need to be removed.
What to expect on discharge from hospital
You may experience some pain and discomfort, which can be relieved by taking pain killers as prescribed. Abnormal swelling or oozing from the wound associated with a temperature is a sign of infection and requires antibiotics; you would need to see your GP if this occurs.
From the next day following the operation take a shower daily until the wound has healed. You will need to wear supportive underwear to help relieve any discomfort and swelling, and to reduce your risk of developing a haematoma (bruising).
Avoid wearing tight trousers for the first few days, jogging bottoms are best. Do not do any heavy lifting or vigorous exercise including sexual activity for the first four weeks after your operation.
You should be able to return to work and all other activities as you feel able, this is usually 1-2 weeks after your operation.
Depending on the reason for your surgery you will be advised about what follow up you will have.
A certificate to cover any time off work longer than a week can be obtained from your GP.