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Doctor insights on: Elective Bilateral Orchiectomy

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Dr. Suzanne Galli
60 Doctors shared insights

Testicle Removal (Definition)

Testicle removal, or orchiectomy, is performed for multiple reasons including, most commonly, testicular torsion and malignancy. Testicles are sometimes removed to slow aggressive or metastatic prostate cancer. Also, testicles are removed during gender reassignment surgery and on ...Read more


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When a person undergoes bilateral orchiectomy, what is produced?

Nothing: Bilateral orchiectomy is removing both testicles. The indications are for the presence of a large malignant tumor in the scrotum or for removal of all androgen activity needed in conditions suchas prostate cancer. ...Read more

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Could someone who is d.M.A.B, trans-gendered and under the age of 18 to get a bi-lateral orchiectomy?

Could someone who is d.M.A.B, trans-gendered and under the age of 18 to get a bi-lateral orchiectomy?

Not by certified Dr.: Trans-gender may well be genuine and OK to register with a urologist who would agree to perform operation after age 18. This would be best advice & help by a compassionate & understanding surgeon. Subject may well require further urologic trans-gender surgery later on. ...Read more

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What to do if I was given parental consent, is it possible for someone who is d.m.a.b, trans-gendered and under the age of 18 to get a bi-lateral orchiectomy?

Yes, but: The transition from one gender to another involves not only the physical changes but also psychological evaluations. Mostly there is a period of time in which you will be given hormone treatment and live as the desire gender to determine if the final step is appropriate. ...Read more

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I have had testicle pain for years. My question is how come men can't have an elective orchiectomy to get rid of pain without all the paperwork.

I have had testicle pain for years. My question is how come men can't have an elective orchiectomy to get rid of pain without all the paperwork.

I'm Having A Ball: Well, if I walked into a hand surgeon's office and said"I've had this hand pain for years and I want you to cut it off, and I don't want to fill out a lot of paper work, " he'd very slowly back out of the room (while saying "excuse me for a moment"), close the door and then call the men in white coats to take me away. I guess the same thing would happen if I asked someone to cut-off one of my balls ...Read more

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When a male goes for bilateral orchiectomy or surgical castration, are his testicles thrown away, taken for research or given back to the patient?

When a male goes for bilateral orchiectomy or surgical castration, are his testicles thrown away, taken for research or given back to the patient?

Here are some...: Surgical castration has been almost entirely replaced by medical one through intense sex hormonal manipulation over the past 2 decades. If done, the disposal of surgical specimen may vary reflecting the preference or discretion of surgeons & facilities for professional and cost control. Largely, the removed testes are usually sent to lab for pathological confirmation, but at times may be disposed ...Read more

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Orchiectomy is used for what?

Orchiectomy is used for what?

Orchiectomy: Surgical removal of a testicle affected by cancer or severely damaged by trauma. ...Read more

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Is sex safe after orchiectomy?

Is sex safe after orchiectomy?

Yes!: You should consider waiting for 1 week or so to let things heal up after surgery. After that, you should be good to go. Remember in general, to be more careful about activities that risk contact to the area (horse riding, soccer, martial arts etc) as you are only running on 1 testicle now! ...Read more

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Orchiectomy should undergo it or not?

Tell us more, Why?: Please provide more details. Why are you raising this question? Do you have Cancer of the Testicle. That is the only reason to consider doing orchiectomy in a young man of 21 years. ...Read more

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I'm considering orchiectomy but don't know much?

I'm considering orchiectomy but don't know much?

Depends on why: If there is a cancerous tumor in a testicle, orchiectomy (cut it out) is the usual treatment. Otherwise, we don't "consider" orchiectomies... just like we don't consider removing one of two eyeballs or removing one of two arms, unless there is a major reason such as a cancer in an eyeball or a cancer in an arm. ...Read more

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What is the easiest way for me to get an orchiectomy?

My? Is why?: See a Urologist on an office visit. This is a difficult question not knowing why? Surgery would be the simplest, ...Read more

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Can you tell me about post orchiectomy: should I take estrogen?

Can you tell me about post orchiectomy: should I take estrogen?

Not needed: Several indications for orchiectomy. At age 48 the most common need for the procedure is cancer of the testis. If one is remaining there is no need to take replacement hormones i.e. testosterone. If the procedure was bilateral for prostate cancer a suppressive hormone drug such as Lupron (leuprolide) might be indicated at the time but no need to take estrogen unless advanced Ca requires estrogen. ...Read more

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What are the odds that an orchiectomy will reduce the size of the prostate?

What are the odds that an orchiectomy will reduce the size of the prostate?

Not hich: If one of two testicles is removed, testosterone balance is generally maintained as is prostate volume. If both testicles are removed, then the prostate will shrink by 25-30% or so. ...Read more

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Is the orchiectomy for male cancer?

Is the orchiectomy for male cancer?

Testis cancer: Entails the effected testis to be removed, unilateral orchiectomy. For advanced prostate cancer, bilateral orchiectomy is as effective and cost effective as pharmaceuticals, but the idea is unpalatable to many patients and some doctors. The anti-hormone therapy is justified for those that might want the effcts reversed, not always desireable or posible. ...Read more

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Is it safe after 3, 5 weeks after orchiectomy to hit sauna?

If incision healed: A steam sauna should have no impact on well-healed incision to the scrotum her groin. Submersion and water may be an issue depending on the level of healing at this point. ...Read more

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In how many cases is an orchiectomy needed to treat cancer?

In how many cases is an orchiectomy needed to treat cancer?

Orchiectomy is the: Curative choice in testis cancer, regardless of histology. It is quite effective as a palliative measure is advanced prostate cancer (disease alrady spread to bones and painful), but often refused by patients, and sometimes not mentioned by doctors. Anti-hormone pharmaceuticals do the same thing at much higher price. ...Read more

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Difference bwtween orchiectomy and lhrh treatment? Which one has more advantages?

Difference bwtween orchiectomy and lhrh treatment? Which one has more advantages?

Neither: Orchiectomy is permanent and is a small surgical procedure (cheap). Lhrh treatment (exp) means seeing your doctor every 1-6 months for an injection (no surgery, reversible), so if you lose insurance coverage your testosterone can rise without the injection and the cancer can grow. Most patients have lhrh nowadays but orchiectomy, if you think hormone treatment will be lifelong, is also an option. ...Read more

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Is it ok if psa count has moved from 100 to 11 after orchiectomy in november. How long does it take to reach to a safer range?

PSA AND PROSTATE CAN: This is one of many things to watch while living with prostate cancer. The number is just that and your symptoms are more valuable predictor of danger than the number. It is good that it is going in the right direction. 5% of prostate cancers don't even make psa. ...Read more

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Why don't most doctors take migraines seriously? Granted I don't get as frequent since my orchiectomy. But I've had since age 8 ish. No one cared : (why?

Why don't most doctors take migraines seriously? Granted I don't get as frequent since my orchiectomy. But I've had since age 8 ish. No one cared : (why?

See answer: A migraine headache is a primary headache disorder that effects approximately 12% of the population. As you likely know, they can be severe and debilitating when they occur and should be taken seriously by any health professional to help relieve the pain and suffering. The right doctor and the right medicines, combined with self-help remedies and lifestyle changes, often make a big difference. ...Read more

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I'm gonna bank my sperm then undergo orchiectomy procedures?

I'm gonna bank my sperm then undergo orchiectomy procedures?

So: What is your question?
As a young man, what are your plans? And what is behind your decision? No doctor would submit to your request unless there is a VERY VALID REASON.
Seek some advice............................ ...Read more

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Will unilateral orchiectomy lower my sex drive?

Will unilateral orchiectomy lower my sex drive?

No, it shouldn't: Assuming everything went off without a hitch, your remaining testicle should be able to produce plenty of testosterone & sperm. Just to be sure, ask your surgeon to check your levels, preferably before & after. More likely, a decrease in sex drive or libido post-op can be due to stress (relationship, money, work family, friends), health, medications, substance use, as opposed to low t. ...Read more

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Psa value is 11 after orchiectomy in nov 2012 please tell me life expectancy.

Hard to say: Depends on how you respond to provenge, zytiga, (abiraterone acetate) xtandi, chemo, casodex. Lots of options. Where is cancer? If still in prostate can treat with cryo or radiation. ...Read more

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Can one side orchiectomy słów down or stop balding process? Just out of curiosity.

Can one side orchiectomy słów down or stop balding process? Just out of curiosity.

Probably not: While male pattern baldness is hastened by testosterone, it is likely that a solitary testis is making enough testosterone to keep blood levels relatively normal. ...Read more

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What happens to the genitofemoral nerve when a radical orchiectomy is performed? Is it removed?

What happens to the genitofemoral nerve when a radical orchiectomy is performed? Is it removed?

Nerve not involved: This nerve is not usually encountered in the process of radical orchiectomy. It is certainly not removed. Another nerve, the ilioinguinal nerve, is in the area, and must be freed up and retracted out of the way to avoid injury to it. If injured, it can cause numbness in the scrotal and groin areas. ...Read more

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Will there be any complications or ill-effects in the future from getting a partial orchiectomy on one testicle from trauma (other one is still fine)?

Will there be any complications or ill-effects in the future from getting a partial orchiectomy on one testicle from trauma (other one is still fine)?

Not likely: If you are young and healthy, there should be no serious long-term effects from loss of a portion of one testis with the other testis being normal. This is true for both the hormone production aspect and reproductive or sperm production aspect of testis function. ...Read more

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Is orchiectomy a standard procedure that should be done locally? Or would you recommend I go to a top rated hospital out of state? I'm near Chicago, IL

Is orchiectomy a standard procedure that should be done locally? Or would you recommend I go to a top rated hospital out of state? I'm near Chicago, IL

Ask your primary: Doctor for a referral to a urologist, who can perform this procedure for you. Your doctor will have a recommendation that would be in your best interest. ...Read more