Orchiectomy performed as part of cancer therapy may be done in a hospital under general anesthesia, but is most often done as an outpatient procedure in a urology clinic or similar facility.
A subcapsular orchiectomy is also performed for treatment of prostate cancer.
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.
An orchiectomy may also be performed to treat prostate cancer or cancer of the male breast, as testosterone causes these cancers to grow and metastasize (spread to other parts of the body).
An inguinal orchiectomy, which is sometimes called a radical orchiectomy, is done when testicular cancer is suspected.
Medications that prevent the production of testosterone: [goserelin or leuprolide acetate]); radiation treatment; chemotherapy.
A simple orchiectomy, or removal of a testicle, may be performed to treat testicular cancer, testicular injury, or severe inflammation of the testicle that does not respond to other treatments. It may also be done for individuals seeking gender-affirming surgery as part of their transition process.
Most prostate cancer patients, however, report rapid relief from cancer symptoms after an orchiectomy.
An orchiectomy is sometimes done to prevent cancer when an undescended testicle is found in a patient who is beyond the age of puberty.
How effective is an orchiectomy in preventing recurrence of my cancer?What side effects am I most likely to experience?How many orchiectomies have you performed?Can you recommend a local men's network or support group?
Patients who are having an orchiectomy as treatment for testicular cancer should consider banking sperm if they plan to have children following surgery.
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.