Orchiectomy is a surgery to remove one or both testicles.
An orchiectomy may be done to treat:
It can also be a diagnostic procedure to determine if cancer is present when a mass is found during ultrasound.
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:
Your doctor may do the following:
Talk to the doctor about your medications. You may be asked to stop taking some medications up to one week before the procedure.
Other things to keep in mind before the procedure:
You will be prepared for surgery. The genital area will be shaved and sterilized.
Once you are asleep, the doctor will make a small incision in the groin area or in the scrotum. The testicle is pulled up from the scrotal sac. The cord that connects the testicle to the scrotum is clamped and sutured. The testicle is removed. Absorbable stitches will be used to close all incision areas.
A prosthetic testicle is sometimes placed into the scrotum. This can be done at the time of the surgery or at a later date.
About 1-2 hours depending on how much surgery is needed
Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medications.
The staff may provide the following care to make you more comfortable and help your recovery:
You will be able to leave when the anesthesia has worn off and you can walk.
During your stay, the hospital staff will take steps to reduce your chance of infection such as:
There are also steps you can take to reduce your chances of infection such as:
When you return home, do the following to help ensure a smooth recovery:
Contact your doctor if your recovery is not progressing as expected or you develop complications such as:
If you think you have an emergency, call for emergency medical services right away.
Testicular Cancer Resource Center
Urology Care Foundation
Orchiectomy surgery. St. Joseph’s Healthcare Hamilton website. Available at: http://www.stjoes.ca/patients-visitors/patient-education/patient-education-k-o/pd-6660-orchiectomy-surgery.pdf. Accessed December 18, 2017.
Testicular cancer. EBSCO DynaMed Plus website. Available at:http://www.dynamed.com/topics/dmp~AN~T907377/Testicular-cancer. Updated May 31, 2017. Accessed December 18, 2017.
Testicular cancer treatments: the inguinal orchiectomy. Testicular Cancer Resource Center website. Available at: http://tcrc.acor.org/orch.html. Updated December 9, 2012. Accessed December 18, 2017.
6/2/2011 DynaMed Plus Systematic Literature Surveillancehttp://www.dynamed.com/topics/dmp~AN~T905141/Treatment-for-tobacco-use: Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.
Last reviewed November 2018 by EBSCO Medical Review Board Adrienne Carmack, MD Last Updated: 12/18/2017