Frequently Asked Questions

What is Orchiectomy?

Orchiectomy is the surgical removal of one or both the testicles. This is performed mostly to treat or to prevent prostate cancer from spreading to other parts. This surgery will also help in preventing testicular cancer and breast cancer in men. Orchiectomy is also performed before the sexual reassignment surgery (SRS) if the person is converting from male to female. There are different types of Orchiectomy. They are:

1. Simple Orchiectomy
2. Radical Inguinal Orchiectomy
3. Bilateral Orchiectomy
4. Subcapsular Orchiectomy

What are the advantages of Orchiectomy?

The following are the advantages of Orchiectomy:

1. Orchiectomy help in treating prostate cancer.
2. It prevents prostate cancer from spreading to other parts.
3. Helps in preventing testicular cancer and breast cancer in men.

What are the indications of Orchiectomy?

The following are the indications of Orchiectomy:

1. To treat a testicular tumor
2. As a part of prostate cancer or breast cancer treatment
3. Sex reassignment surgery

What is the preparation for Orchiectomy?

The following are the steps to be prepared for Orchiectomy:

1. If the individual is undergoing this surgery for a sex change then the person should be prepared for gender dysphoria.
2. The individual will be asked to sign a consent form before this surgery.
3. The individual should provide two different letters from mental health professionals.
4. The individual should complete hormone therapy for one year before undergoing this surgery.
5. The doctor may ask the patient to undergo different lab tests and scans to make sure the individual is healthy for the surgery.

What is the postprocedure care/recovery care for Orchiectomy?

The following are the post-care steps to be followed after Orchiectomy:

1. The patient may be able to go home within a couple of hours after the surgery.
   
2. The patient may be asked for follow-up visits. 
3. The patient may be advised to wear a scrotal support for the next 48 hours post-surgery.
4. Ice may be used to minimize the swelling in the scrotum or at the site of the incision.
5. Use mild soap to wash the area.
6. Use the creams or lotions and medicines as instructed by the doctor.
7. The patient may be advised to eat foods that are rich in fiber and drink plenty of water to maintain regular bowel movements. This will help in avoiding strain during the bowel movement.

Who can perform Orchiectomy [Right specialist type for Orchiectomy]?

Orchiectomy can be performed by a certified and skilled Urologist who is well experienced in Orchiectomy.

What is the cost of Orchiectomy?

Cost of Orchiectomy depends on factors such as:

1. Admission fee
2. Doctor fee
3. Type of hospital
4. Age of the patient
5. Size of the tumor
6. The medical condition of the patient
7. Post-surgical complications that are involved
8. The admission room that you opted for
9. Any other lab tests or examination tests such as X-ray, ECG, etc.

Minimum cost in Hyderabad starts from Rs.22,000

Average price in Hyderabad is approximately Rs.32,100

Maximum expenses in Hyderabad rise up to Rs.82,500

Is Orchiectomy a major surgery or minor surgery?

Orchiectomy is considered major surgery as it involves the removal of the testicles.

What is the eligibility criteria for Orchiectomy?

The following are the eligibility criteria for Orchiectomy:

1. Patients who are not reacting to the feminizing hormones.
2. Patients who want to reduce the risks and side effects of the medicines.
3. If the cancer cells are not spread to the surrounding parts.
4. The individual should have reached the age of adulthood.

What is the ineligibility criteria for Orchiectomy?

The following are the ineligibility criteria for Orchiectomy:

1. If the patient is planning to have kids.
2. If the patient is on blood-thinning medications.
3. If the patient has bleeding disorders.
4. Patients with mental or psychological problems.

What are the risks and complications associated with Orchiectomy?

The following are the risks and complications involved in Orchiectomy:

1. Scarring
2. Infertility
3. Bleeding 
4. Infection
5. Injury to the surrounding parts
6. Nerve damage
7. Decreased libido and energy
8. Osteoporosis

How long does it take to complete Orchiectomy?

Orchiectomy may take 30-60 minutes for the complete procedure.

What is the recovery time?

The recovery time for Orchiectomy may depend on:

1. Age of the patient
2. The medical condition of the patient
3. Care taken after the surgery

However, the recovery time may vary from days to weeks after the surgery. 

What is the success rate of Orchiectomy?
The success rate of Orchiectomy may vary from person to person however, it is 75%-85%.

Is Orchiectomy painful?

Every surgery comes with a certain level of pain and some discomfort. You won't be experiencing pain during this process because you will be under general anesthesia.

Is Orchiectomy permanent?

Orchiectomy is the removal of testicles which is permanent.

What are the long-term results of Orchiectomy?

The long-term results of Orchiectomy are as follows:

1. Damage to the thyroid gland, liver, and kidneys
2. Blood clots
3. Infertility problems

Can Orchiectomy be detected in the future?

Orchiectomy can be detected in the future as the testicles are removed permanently.

What are the options if Orchiectomy fails?

If Orchiectomy fails then the doctor may recommend repeating the surgery.

What are the alternatives for Orchiectomy?

The alternatives for Orchiectomy are:

1. Partial penectomy
2. Labiaplasty