How do you perform a bilateral orchiectomy?

How do you perform a bilateral orchiectomy?

First, your surgeon will lift your penis and tape it to your abdomen. Then, they’ll make an incision either on your scrotum or the area right above your pubic bone on your lower abdomen. One or both testicles are then cut out from the surrounding tissues and vessels, and removed through the incision.

What is bilateral orchiectomy?

Bilateral means both sides and orchidectomy is the removal of the testicles. So a ‘Bilateral Orchidectomy” is when both of the testicles are removed through a small incision in the front of the scrotum.

What is the biggest concern after a bilateral orchiectomy?

Complications after a bilateral orchiectomy are rare and include pain around the scrotum, bleeding, infection, or delayed healing of the wound. In most cases, the way the scrotum looks will not be affected by the surgery.

What happens to testosterone after orchiectomy?

After a bilateral orchiectomy, the body will not be able to produce sperm and the testosterone level will fall to a very low level. (Some testosterone is still produced by the adrenal glands, but it is a minimal amount.)

What are the side effects of an orchiectomy?

Side effects from hormone changes may include:

• Sterility.
• Loss of sexual interest.
• Erection problems.
• Hot flashes.
• Larger breasts (gynecomastia).
• Weight gain.
• Loss of muscle mass.
• Thin or brittle bones (osteoporosis).

What happens after an orchiectomy?

If both your testicles were removed, you may start to notice changes in your body several weeks after surgery due to not having male hormones. The most obvious changes may be hot flashes and sweating. You may lose your sex drive, gain weight, or not be able to get an erection. These changes can be upsetting.

How painful is an orchiectomy?

There are several things you should be aware of following orchiectomy, the medical term for surgery to remove a testis. Most men will have discomfort requiring pain medicine for 1-2 weeks. After this time, the pain usually diminishes considerably, although there may be certain times of day when discomfort is worse.

Is orchiectomy a major surgery?

Orchiectomy surgery is relatively low-risk, and complications are uncommon. But orchiectomy carries all the risks of any major surgery, including: Reactions to anesthesia or medicines.

What are the side effects of orchiectomy?

How painful is testicle removal?

How long does an orchiectomy surgery take?

This is an outpatient procedure that takes 30-60 minutes. Your doctor may use either local anesthesia to numb the area or general anesthesia.

Can you walk after orchiectomy?

Start by walking a little more than you did the day before. Bit by bit, increase the amount you walk. Walking boosts blood flow and helps prevent pneumonia and constipation. Avoid strenuous activities, such as bicycle riding, jogging, weight lifting, or aerobic exercise, for 2 to 3 weeks after surgery.

What should I expect from a orchiectomy procedure?

What to Expect from an Orchiectomy. 1 Simple orchiectomy. One or both testicles is removed through a small cut in your scrotum. This may be done to treat breast cancer or prostate cancer 2 Radical inguinal orchiectomy. 3 Subcapsular orchiectomy. 4 Bilateral orchiectomy.

Can a transgender woman have a bilateral orchiectomy?

There are two common orchiectomy procedures for transgender women: bilateral orchiectomy and simple orchiectomy. In a bilateral orchiectomy, the surgeon removes both testicles.

Can a labiaplasty be done as an orchiectomy?

A labiaplasty is a procedure used to construct labia using skin grafts. Orchiectomy may also be a good option for people who don’t react well to feminizing hormones or want to reduce the health risks and side effects from these medications.

Can you take antiandrogens before an orchiectomy?

You can try hormone therapies with antiandrogens before considering an orchiectomy, but these can have side effects, including: How do I prepare for this procedure? Before an orchiectomy, your doctor may take blood samples to make sure you’re healthy enough for surgery and to test for any indicators of cancer.