Orchidectomy

Procedures we perform

ABOUT ORCHIDECTOMY

What is an orchidectomy?

An orchidectomy (pronounced or·kuh·DECK·tuh·mee) is an operation to remove:

the testicle,

the epididymis (the sac on the back of the testicle which stores sperm), and

the spermatic cord (the cord that brings blood to and from the testicle).

It is also known as an orchiectomy, inguinal orchidectomy, or radical orchidectomy.

Why is an orchidectomy required?

Orchidectomy is most commonly performed to treat a mass in the testicle which is suspected to be a testicular cancer.

Occasionally, orchidectomy is performed to treat other conditions such as chronic pain, advanced prostate cancer, or severe infection which has spread from the urinary tract to the epididymis or testicle.

Testicular Cancer

Testicular cancer is a disease caused by the abnormal growth of cells in one or both testicles. These abnormal cells grow uncontrollably, forming a tumour, that can spread to other parts of the body.

Urinary tract infections

A urinary tract infection (UTI) is an infection that occurs in any part of the urinary system, which includes the kidneys, ureters, bladder, and urethra. Most UTIs involve the lower urinary tract, specifically the bladder and urethra.

Prostate Cancer

Prostate cancer is a disease cause by abnormal growth of cells in the prostate. These cells have the potential to grow within the prostate and spread to other parts of the body.

PATIENT JOURNEY

What does an orchidectomy involve?

Orchidectomy is usually performed through a small incision in the groin, but can sometimes be done through an incision in the scrotum.

The blood vessels supplying the testicle are ligated with a stitch, and the testicle, epdidymis and spermatic cord are removed.

Orchidedctomy is performed under a general anaesthetic.

The testicle which is removed is sent for further testing.

What is the recovery after orchidectomy?

Orchidectomy can be performed as a day surgery or with a one night stay in hospital.

It is common to have mild pain in the wound and your scrotum for a week or two after the procedure.

You can usually return to normal activities, including work, three to five days after orchidectomy, but you need to avoid vigorous physical activity for two to four weeks.