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:
Arrange for a ride home from the hospital.
In most cases, you will need to avoid eating and drinking for 6-8 hours before the procedure. Ask your doctor when you should stop eating and drinking.
The procedure is done under
spinal anesthesia. You will be asleep or sedated. Anesthesia will block any pain during the surgery.
Description of 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.
How Long Will It Take?
About 1-2 hours depending on how much surgery is needed
How Much Will It Hurt?
Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medications.
At the Care Center
The staff may provide the following care to make you more comfortable and help your recovery:
Pain medications and IV fluids
Ice pack and other scrotal support
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:
Washing their hands
Wearing gloves or masks
Keeping your incisions covered
There are also steps you can take to reduce your chances of infection such as:
Washing your hands often and reminding visitors and healthcare providers to do the same
Reminding your healthcare providers to wear gloves or masks
Not allowing others to touch your incisions
When you return home, do the following to help ensure a smooth recovery:
Walking and light activity is important. Avoid strenuous activities and heavy lifting for a few weeks.
Swelling and soreness is normal. Use ice packs as advised. Your doctor may recommend that you wear snug-fitting underwear or an athletic supporter for the first few days.
Ask your doctor when you can resume sexual activity.
Follow incision care instructions to avoid infection.
Call Your Doctor
Contact your doctor if your recovery is not progressing as expected or you develop complications such as:
Increasing pain, discharge, redness, or swelling at the incision site
Pus or odor from the incision site
A lot of bleeding
Stitches loosen or fall out
Signs of infection, including fever and chills
If you think you have an emergency, call for emergency medical services right away.
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.
Last reviewed November 2018 by
EBSCO Medical Review Board
Adrienne Carmack, MD
Last Updated: 12/18/2017
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