Overview

Orchidectomy is also known as orchiectomy, orchectomy or testicle removal surgery, it is a medical procedure that involves the surgical removal of one or both testicles. This treatment may be needed for various medical conditions such as testicular cancer, severe trauma, chronic pain or as part of gender affirmation surgery. The procedure can be unilateral (one testicle) or bilateral orchiectomy (both testicles removed).

Sometimes, people may hear different terms like orchiotomy, testicular removal surgery or even casual phrases like balls removed, but they all refer to the same or similar procedures under the umbrella of orchidectomy.

This is a safe and effective treatment that can significantly improve health, reduce pain or support hormonal or cancer management when needed.

Why Orchidectomy Treatment is Required?

To treat testicular cancer or reduce the risk of cancer spreading

For patients with chronic testicular pain not responding to other treatments

As part of prostate cancer treatment, to reduce testosterone levels

In cases of serious injury or infection to the testicles

For individuals undergoing gender-affirming surgery

To manage hormone-sensitive conditions

To prevent complications from testicular torsion

To reduce discomfort or swelling from balls dropping abnormally

Key Advantages of Orchidectomy Treatment

Helps in cancer management and prevention

Reduces pain and swelling from testicular disorders

Supports hormone control in prostate cancer and gender transition

A simple and low-risk surgery with fast recovery

Permanent solution for recurrent testicular issues

May improve overall quality of life in certain medical conditions

Reduces the need for long-term medication in some cancer therapies

Helps in controlling testosterone levels naturally

How Should You Prepare Yourself Before Orchidectomy Treatment

Discuss your goals and concerns with your doctor

Understand the orchiectomy definition and what it involves

Complete any blood tests or imaging as advised

Stop certain medications if instructed for example blood thinners

Avoid eating or drinking for a specific period before surgery

Arrange for someone to accompany you home post-surgery

Mentally prepare for the emotional and hormonal changes that may follow

Clarify whether you are having unilateral or bilateral orchiectomy

How Orchidectomy Treatment is Performed?

The procedure is typically done under local or general anesthesia

A small incision is made in the scrotum or lower abdomen

The testicle(s) and spermatic cord are carefully removed

The incision is then closed with sutures

It usually takes 30 to 60 minutes depending on the complexity

You may be given the option of inserting a testicular prosthesis

What You Can Expect Before, During and After Procedure?

1. Before the Procedure

Medical evaluation and discussion about the type of surgery

Informed consent and clear explanation of testicle removal surgery

Fasting instructions and pre-operative checkups

2. During the Procedure

You will be under anesthesia

The surgeon performs the procedure to remove testicles safely

Surgical area is cleaned and stitched up properly

3. After the Procedure

Short hospital stay or same-day discharge in many cases

Swelling, mild pain, or discomfort for a few days

Instructions on wound care and activity restrictions

Follow-up visits to monitor healing

Emotional or hormonal changes, especially after bilateral orchiectomy

Risk and Potential Complications

Infection or bleeding at the surgical site

Pain or swelling after surgery

Emotional distress or adjustment after testicular loss

Risk of blood clots (rare)

Hormonal imbalance if both testicles are removed

Decreased libido or fertility depending on the surgery type

Need for hormone replacement therapy in bilateral cases

Minor risk of reaction to anesthesia

Results/Outcomes

High success rate in treating testicular cancer or pain

Many patients return to normal life within a few weeks

Hormonal balance can be managed with medications, if needed

Improved quality of life and relief from symptoms

Emotional support or counseling may enhance recovery

For gender-affirming purposes, it plays a crucial role in transition journey