Prostate cancer

What is an orchiectomy?

What is an orchiectomy?

An orchiectomy consists of the surgical removal of the testicles, which are the glands responsible for producing testosterone in men

How is an orchiectomy related to prostate cancer?

An orchiectomy is a surgical procedure that can be considered as hormonal therapy in the treatment of prostate cancer. Its purpose is to stop the production of testosterone.

By removing the testicles, testosterone levels drop dramatically, reducing some of the symptoms of prostate cancer.

What is an orchiectomy?

Orchiectomy is a relatively simple surgery that is performed under local or general anesthesia.

Through a small incision in the scrotum, that is, in the sac that contains the testicles, the surgeon frees the testicles by cutting the blood vessels and the vas deferens to which it is attached to extract the testicles.

The main risks of orchiectomy are infection and bleeding.

What are the side effects of orchiectomy?

The removal of testosterone from a man's body can have some side effects. as symptoms similar to those of menopause in women and the psychological impact of the appearance of the genital area and knowing that you do not have testicles.

Is there an alternative treatment to orchiectomy?

An alternative to the standard orchiectomy procedure is the subcapsular orchiectomy. With this technique, only the glands that are around the testicles are eliminated, and that are those that produce testosterone, maintaining the testicles. With this procedure, the appearance of the scrotum is almost normal, and therefore the possible psychological effects associated with the removal of the testicles are prevented.

Another treatment option is what is known as a medical orchiectomy, since it has an effect equivalent to that produced by the removal of the testicles. It uses analogues of the luteinizing hormone releasing hormone (LHRH), which work by inhibiting the production of testosterone in the testes. The main advantage of this type of treatment is that its effect is reversible.

Related Reading:

  • What is a prostectomy?


Video: Gender Affirming Orchiectomy. UCLAMDCHAT Webinar (June 2021).