This operation is generally performed in cases of prostate cancer, testicular cancer, or chemical castration of sexual offenders. During the procedure, the capsule surrounding the testes is preserved while the sperm-producing part of the testes is removed, thereby maintaining the hormone-producing tissue.

When is Bilateral Orchiectomy Performed?

Orchiectomy may be performed in the following situations:

• Prostate Cancer: Used to stop the production of androgen hormones in the treatment of metastatic prostate cancer.
• Testicular Cancer: Performed to prevent the spread of cancerous cells.
• Chemical Castration of Sexual Offenders: In some countries, this procedure is chosen over chemical castration to reduce the risk of recidivism in sexual offenders.
• Other Conditions: Rarely, it may be performed due to trauma or infection of the testes.

How is Bilateral Orchiectomy Performed?

The procedure is usually carried out under general or local anesthesia. During the operation, the surgeon makes an incision in the scrotum and carefully removes each testis. The capsule surrounding the testes is preserved while the sperm-producing part is excised. The incision is then closed with sutures.

Difference Between Subcapsular and Orchiectomy

The primary difference between subcapsular and scrotal orchiectomy lies in whether the capsule surrounding the testes is preserved. In a subcapsular orchiectomy, the capsule is preserved, while in a scrotal orchiectomy, the capsule is also removed. Subcapsular orchiectomy is generally preferred for prostate cancer treatment, whereas scrotal orchiectomy is more commonly used for treating testicular cancer.

Risks and Side Effects of the Procedure

Orchiectomyis relatively safe, but like any surgical procedure, it carries certain risks and side effects, including:

• Infection: There is a risk of infection as with any surgical procedure.
• Bleeding: Minor bleeding may occur during the procedure.
• Pain and Discomfort: Pain and discomfort are common post-surgery.
• Scarring: Scarring at the incision site is possible.
• Hormonal Imbalance: The procedure can lead to decreased testosterone levels, which might cause symptoms such as hot flashes, fatigue, and reduced bone density.

Important Considerations for Bilateral Orchiectomy

Orchiectomyis a significant surgical procedure. It is crucial to discuss all potential risks and side effects with your doctor before deciding to proceed. Additionally, planning for post-operative care and understanding how the procedure will impact your daily life is essential. For more detailed information, please contact EMPCLINICS.