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Orchiectomy

at Cedars-Sinai Marina del Rey Hospital

Being a major surgical procedure with great impact upon your life, an orchiectomy must be performed by surgeons having the skills and competence required for it, in order to have the beneficial results you want. Our urologists have vast experience in minimally invasive surgery. Due to the state-of-the-art technology used by the specialists at our facility in Los Angeles, this procedure you are about to undergo diminishes the risk of possible negative side effects and accelerates the rhythm of your recovery.

Orchiectomy or orchidectomy is a surgical procedure in which one or both testicles are removed.

The purpose of this procedure is to eliminate testicular tumors or treat prostate cancer by stopping most of the body's production of testosterone.

Bilateral testicle removal (surgical castration) it is also an important surgical procedure in the gender transition process (male-to-female) in order to prepare the genital area for later operations.

A surgeon can perform three basic types of orchiectomy: simple, subcapsular, and inguinal.

The first two are usually performed with local or epidural anesthesia and last for about 30 minutes.

The surgeon removes the testicles and parts of the spermatic cord by making an incision in the midpoint of the scrotum.

In inguinal or radical orchiectomy, the surgeon removes the entire spermatic cord and the testicles making an incision in the patient's groin area. 

Orchiectomy is a recommended surgical intervention for men who have been diagnosed with prostate or testicles cancer because it helps relieve the symptoms, prevent complications, and prolong survival.

Like in any other surgical procedure, there are certain risks related to bleeding, reactions to anesthesia, or infection. Due to the fact that orchiectomy causes sudden hormone changes in the body, potential complications may arise due to the loss of testosterone. These can be:

  • Gynecomastia (male breast enlargement)
  • Decreased libido and erection problems
  • Loss of muscle mass
  • Osteoporosis
  • Hot flashes
  • Sterility
  • Mood swings or depression
  • Fatigue