Top
20
Doctor insights on: Elective Bilateral Orchiectomy

Share
Dr. Walter Husar
59 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


2

2
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.

3

3
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.

4

4
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.

6

6
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

See 1 more doctor answer
7

7
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

8

8
Orchiectomy is used for what?

Orchiectomy is used for what?

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

9

9
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!

10

10
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.

11

11
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,

13

13
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.

14

14
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.

16

16
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.

See 1 more doctor answer
17

17
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.

18

18
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.

See 1 more doctor answer
20

20
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.