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Treatments we offer
In this procedure, one or both the testicles are removed through a small incision in the scrotum. It is performed in the case of prostate cancer, breast cancer and to limit the amount of testosterone that your body produces.
An incision will be made on the midpoint of the scrotum and deeper layers of tissue will be cut. After the removal of the testis, the wound is closed with sutures and dressing is applied. According to your preference, the testicles can be replaced with a silicone prosthesis to retain the normal appearance of the scrotum. This procedure can be done once the area has healed completely.
Treatments we offer
This procedure is a variant of simple orchidectomy and is used to treat hormone-dependent prostate cancer. During this procedure, the testis is spared and only the tissue surrounding the testicle is removed. This is usually done to maintain the normal appearance of the testes.
Treatments we offer
This method is recommended for diagnosing and treating testicular cancer. Your doctor may perform this procedure if there is a lump in your testis that might be cancerous. Here the surgeon would remove the testicle, the spermatic cord, and the tumour by making an incision in the abdomen area instead of your scrotum through a small incision in the lower abdomen.
The doctors will remove one or both the testicles with the spermatic cord through the incision. A long non-absorbable suture will be left in the stump of the spermatic cord if repeat surgery is required. The incision is closed with the sutures and the wound is covered with a sterile dressing.
Treatments we offer
Here both the testicles are removed. This procedure is mostly done in the case of prostate cancer, breast cancer or as part of a gender transitioning surgery.
What is Orchidectomy?
Orchidectomy or orchiectomy is a surgical procedure that involves the removal of one or both of the testis in a male. This procedure is mostly performed to treat prostate cancer and male breast cancer. The testes (singular: testis) are a pair of ovoid male reproductive organs present in the scrotum (the sac that holds the testis) outside the abdomen as they require lower temperature than in the abdomen. During the procedure, the external male sex organs, the penis, and the scrotum are left intact.
An orchidectomy is indicated in the case of:
- Male Breast Cancer: The testes produce the hormone testosterone that is responsible for the growth and spread of breast cancer in men. Removal of testes blocks this production of testosterone.
- Prostate Cancer: The prostate gland is a walnut-shaped gland that is located below the bladder in males and is responsible for producing the seminal fluid (the fluid that carries the sperms). Stopping the production of testosterone through orchidectomy helps in treating prostate cancer.
- Gender Reassignment - Male to Female: Both the testes are removed during a gender reassignment surgery while transitioning a male into a female.
- Severe injury to the testis
- Torsion of the testis: This is an emergency condition in which the testis becomes red, swollen and very painful to touch. It occurs when the tissues that surround the testis are not completely attached, causing the testis to rotate. This in turn causes the spermatic cord (tube-like structures that support the testis in the scrotum) to twist leading to cutting off of the blood supply to the testis. This causes the death of the tissue and damage to the testis.
Before The Procedure
- Your doctor will discuss your medical history, any current medications and history of allergies. You will be told the details about the procedure and your doctor will help you understand the benefits and risks involved.
- You will need to undergo a few routine tests such as blood and urine tests to assess your general health condition and to test for any indicators of cancer. You will be advised to stop some medications (like blood thinners, to prevent the formation of clots) or to adjust the dosage of other medications, a few days before your procedure.
- If you are a smoker, you will be advised to avoid smoking for a few days before the surgery to improve healing post-operatively. You will be instructed to avoid food or water 6-8 hours before the surgery.
- This procedure can be done under local or general anaesthesia.
- You will be counselled on what to expect after the surgery, mainly with regards to sexual changes. Sperm banking (a method of freezing and storing sperms for prolonged periods) may be advised if you wish to have a child after the procedure.
On The Day of The Procedure
- You can take a regular bath or shower before coming to the hospital.
- You will be asked to sign a consent form that permits your doctor to perform the procedure on you.
- Your vital signs such as breathing rate, body temperature, and blood pressure will be checked.
- You will need to change into a hospital gown and will be asked to lie on an examination table.
- You will have a fitness check-up with the anaesthetist before going ahead with the procedure.
- The groin area will be cleaned, and the hair overlying the skin in the area will be shaved.
- The anaesthesia will be administered intravenously (injected through the veins).
- Pain and swelling around the wound
- Bleeding from the site of the surgery
- Difficulty to urinate
- Infection at the site of the incision
- Erectile dysfunction
- Reaction to medications given for anaesthesia
- Complications due to the lack of testosterone such as depression (emotional disorder), hot flashes, weight gain, and mood swings.
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Hear it from our patients
My orchidectomy went really smoothly at Fairfield. The advantages of this surgery are something everyone should know about. The knowledge will help with any testicles problems you have faced. If you are looking for a clinic that offers the best surgery, I think Fairfield is the best choice.
Anup Awasthi
AccountantThe treatment was seamless and effective. I am now doing much better, mostly because of how efficiently the doctors handled my condition. I recovered well in time to get back to work, safe and fit. Thank you Fairfield. This is definitely one of the best hospitals for prostate cancer treatment.
Sahil Joshi
ManagerI spent days in pain as I kept looking for the best testicular doctors near me, before I finally found Fairfield Health. The doctors here made me feel comfortable and were supportive all along. I was told all the details about the procedure and I am glad that everyone was forthcoming. Luckily, there were no complications.
Shreyas Sharma
ProfessorThe procedure had scared me and I was worried about my condition. I was unaware of who I should approach because I didn’t know about who would be a testicle doctor, or even the right hospitals. However the folks at Fairfield made the process very easy for me, right from the first consultation to the post-surgery care. I was treated by one of the top prostate cancer surgeons who expertly handled my case. Grateful for all the support and care.
Anil Matthews
Client Servicing Managerworld-class treatment for the community.
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Frequently Asked Questions
If only one testicle is removed and the other one is healthy, you will still be fertile and will be able to have kids.
Orchidectomy is performed by a urologist. They are specialists who can diagnose and treat any disorders of the male reproductive system.
You can have sexual intercourse, once the surgical site has completely healed. This might take 5-6 weeks after the procedure. However, consult your doctor to make sure that it is safe to have sexual intercourse.
The cost of orchiectomy is approximately INR 50,000. Cost may vary on a case to case basis depending upon the procedure, complexities associated with the disease, institution and geographical location.
Contact your doctor immediately if you experience any of the following:
- Persistent high fever and chills
- Severe pain at the site of the surgery that does not respond to medications
- Bleeding from the site of the incision
- Swelling, redness, or abnormal discharge from the incision site
You will be advised to return for the checkup with your doctor, the next day after your surgery. The next follow up will be advised after 7 to 10 days and then 6 weeks after the surgery to check for proper recovery. If you were diagnosed with cancer, you will need continuous check-up at regular intervals.
Orchidectomy is an outpatient procedure that is safe and side effects are rare. Follow the post-operative care instruction correctly for a faster recovery and better results. Normally you will be able to return to your normal activities within 6-8 weeks of the procedure.
Some general advice to follow after the surgery
What is the Post - Operative Care For Orchidectomy?
At The Hospital
Once the procedure is complete, you will be sent to the recovery room for a few hours until the effect of the anaesthesia wears off.
- Once you wake up and the endotracheal tube is removed, you may feel some discomfort in swallowing and talking. You may also feel irritation in your throat and can also have a cough and feel nauseated.
- Your vital signs such as body temperature, pulse rate, and blood pressure will be monitored.
- The incision site will be checked for any bleeding or oozing. You will be given medications for pain and to reduce nausea if needed.
- If you were given general anaesthesia, you will be put on intravenous fluids until you pass gas. You can slowly start with liquid food and gradually resume a normal diet.
- You will be encouraged to walk around early as this helps to prevent the formation of blood clots. You will be given scrotal support or scrotal pants to keep the dressing secure.
- Once your vitals are stable, you can ambulate, are eating well and are having normal bowel movements, you will be allowed to return home.
- You will be advised to return for the check-up with your doctor, the next day after your surgery. Your doctor will advise you on the medications and provide instructions on wound cleaning and dressing at home.
At home
During the first week post-surgery, you will be advised to:
- Change your dressing every day. The dressing over the wound can be removed or changed after 24 hours or as instructed by your doctor.
- Use scrotal support. The scrotal support can be used for the first 48 hours of the surgery or as instructed by your doctor or nurse.
- Apply ice packs. Ice packs can be used to reduce the swelling around the incision or in your scrotum.
- Keep the wound dry. The site of the surgery should be kept dry and covered in gauze for the first few days.
- Take painkillers. It is normal to have mild pain and sensitivity in the operated area. This can be managed with the help of painkillers.