Doctor insights on:
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)?
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
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
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
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
How many days need to spent after right radical and left partial orchiectomy to mesure testo. Level. Mine after 3 weeks is too low 27ng/dl. Some wrong?
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
I'm considering elective bilateral orchiectomy for improved longevity, etc. - can I evaluate impacts effectively with medications prior to surgery?
No scientific proof: That orchiectomy prolongs life only anecdotal stores ...Read more
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
Couple: Weeks.Get a more detailed answer ›
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
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
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
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
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
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
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
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
Had orchiectomy in Dec 2012. PSA rose from 1 to 10 in last 4 months. Now on Calutide. Anything else to be taken? If Calutide failed, what to do next?
Advanced CaP: It sounds like you have developed metastatic, castrate resistant prostate cancer (where depriving the cancer of testosterone is no longer effective). Fortunately, in the past 4 years, there have been multiple treatments approved by the FDA for this condition. They include Provenge, Zytiga, (abiraterone acetate) XTANDI, Zofigo, docetaxol and Jevtana. Speak to your physician ASAP about what Tx may be right for you. ...Read more