Bilateral orchiectomy is a surgical surgery that removes both testes.

This operation is typically performed for prostate cancer, testicular cancer, or chemical castration of sexual offenders. During the surgery, the capsule covering the testes is kept intact while the sperm-producing portion of the testes is removed, preserving the hormone-producing tissue.

When is bilateral orchiectomy performed?

Orchiectomy can be performed in the following situations:

Prostate Cancer: Used to inhibit the production of androgen hormones in the treatment of metastatic prostate cancer.
Testicular Cancer: A procedure used to prevent the spread of malignant cells.
Chemical Castration of Sexual Offenders: In some nations, this method is preferred over chemical castration to lower the likelihood of recidivism among sexual offenders.
Other Conditions: In rare cases, it may be performed due to testicular damage or infection.

How is a bilateral orchiectomy performed?

The treatment is usually performed under general or local anesthetic. During the operation, the physician creates an incision in the scrotum and meticulously removes each testis. The capsule around the testes is retained, but the sperm-producing portion is removed. The wound is subsequently closed with sutures.

What Is the Difference Between Subcapsular and Orchiectomy?

The main distinction between subcapsular and scrotal orchiectomy is whether the capsule around the testes is maintained. A subcapsular orchiectomy preserves the capsule, but a scrotal orchiectomy removes it as well. Subcapsular orchiectomy is typically recommended for prostate cancer treatment, but scrotal orchiectomy is more commonly utilized for testicular cancer.

The risks and side effects of the procedure

Orchiectomy is relatively safe, however like with any surgical operation, there are some risks and side effects, including:

Infection: It is a danger associated with each surgical procedure.
Bleeding: Some minor bleeding may occur throughout the surgery.
Pain and discomfort: These are common after surgery.
Scarring: It may occur at the site of the incision.
Hormonal Imbalance: The operation may result in lower testosterone levels, causing symptoms such as hot flashes, exhaustion, and decreased bone density.

Important Considerations for Bilateral Orchiectomy

Orchiectomy is a serious surgical procedure. Before proceeding, talk to your doctor about all of the potential risks and side effects. In addition, planning for post-operative care and understanding how the surgery may affect your daily life is critical.

Does a bilateral orchiectomy induce pain?

The surgery is performed under anesthesia, so there is no pain during the procedure. Mild pain and discomfort may occur after surgery, although these are normally manageable with medicines.

How should I prepare for a bilateral orchiectomy?

Follow your doctor’s pre-operative instructions closely. This usually consists of blood testing, urine tests, and a health assessment. You may be asked not to eat or drink after midnight the night before surgery.

In what circumstances is bilateral orchiectomy performed?

Orchiectomy is most commonly used to treat testicular cancer, prostate cancer, gender reassignment surgery, and hormonal management.