Orchiectomy
Description
An orchiectomy is a surgical procedure designed to remove one or both testicles. This surgery is typically performed for various medical reasons, such as the treatment of testicular cancer, prostate cancer, or severe trauma to the testicles. It can also be a part of gender confirmation surgery for transgender women or individuals undergoing certain hormonal therapies. The procedure is usually carried out under general or regional anesthesia to ensure the patient's comfort. It begins with the patient being positioned on the operating table and the surgical area appropriately cleaned and sterilized. An incision is then made in the scrotum or groin area, depending on the specific surgical approach being used—inguinal or scrotal—and the testicle(s) are carefully extracted. Once the testicle is removed, the blood supply is securely tied off to prevent bleeding. In cases where only one testicle is removed, the remaining testis is repositioned, and the incision is sutured closed. For transgender individuals or those seeking bilateral orchiectomy, both testicles are removed and the procedure is sometimes accompanied by reconstructive measures. Post-operative care is crucial for ensuring proper healing and includes pain management, monitoring for signs of infection, and avoiding strenuous physical activities for a specified period. Patients are often advised on lifestyle or hormonal adjustments post-surgery, and follow-up appointments are critical for assessing recovery and any further treatment requirements. Overall, the orchiectomy is a straightforward procedure, but it plays a significant role in the comprehensive treatment of various medical and lifestyle conditions.
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