Loss of sexual desire; impotence; hot flashes; weight gain of 10-15 lb; mood swings or depression; enlargement and tenderness in the breasts; fatigue; loss of sensation in the groin or the genitals; osteoporosis.
An additional risk specific to cancer patients is recurrence of the cancer.
There is no effective alternative to radical orchiectomy in the treatment of testicular cancer; radiation and chemotherapy are considered follow-up treatments rather than alternatives.
The morbidity and mortality rates for persons having an orchiectomy as part of gender reassignment surgery are about the same as those for any procedure involving general or epidural anesthesia.
Another word for orchiectomy is castration
It is called a radical orchiectomy because the surgeon removes the entire spermatic cord as well as the testicle itself.
If the patient is having epidural anesthesia, the risks include bleeding into the spinal canal, nerve damage, or a spinal headache.
A subcapsular orchiectomy is also performed for treatment of prostate cancer.
There are three basic types of orchiectomy: simple, subcapsular, and inguinal (or radical).
Bilateral orchiectomy is the medical term meaning castration.
The operation is similar to a simple orchiectomy, with the exception that the glandular tissue is removed from the lining of each testicle rather than the entire gland being removed.
Orchiectomy by itself has a very low rate of morbidity and mortality. Patients who are having an orchiectomy as part of cancer therapy have a higher risk of dying from the cancer than from testicular surgery.
This type of orchiectomy is done primarily to keep the appearance of a normal scrotum.