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Removal of the testicles in men; indications for genital...

Removal of the testicles in men: indications for genital surgery, whether sex life is possible without one testicle
How is the removal of one or both testicles in men. Orchectomy, preparation, course of operation and rehabilitation after it. Are there any complications, how does the patient’s sex life change after surgery.

Removal of the testicles in men: surgery and consequences

For cancer of the urogenital system or inflammatory diseases in severe form, surgical treatment is recommended. The most serious operation is the removal of the testicles in men. This surgical method is also called an orchectomy. In essence, this is the castration of a man. The indications for this type of treatment are serious, surgery is prescribed, if other methods have not helped to overcome the disease.

The content of the article

  • Indications for removal of the testicles
  • Testicular cancer
  • Types of testicular amputation
  • Radical orchectomy
  • Partial orchectomy
  • General description of the operation
    • Preparation for surgery
    • The course of surgery
    • Rehabilitation
    • Possible complications and consequences
    • Appearance after removal
      • Aesthetic correction and plastic
      • Psychological help
      • Video
      • Indications for removal of the testicles

        Surgery to remove the testicle in men is prescribed only when other treatments have been tried, and they did not help stop the disease. Orchectomy is a method of castration of men, removal of one or both testicles.

        Indications for removal of testicles (testicles):

        1. Cancer lesions.This removes only the affected part of the testicle. In the event that the malignancy of the tumor is not determined, only a piece of the testicles for biopsy will be required.
        2. High level of androgens.Testosterone is not only responsible for the physiological development of men, but can also cause cancer of the pelvic organs and even the pectoral muscles. With a significant increase in the level of androgenic hormones, the removal of an organ that produces them in large quantities – the testicle, is required. Also, surgery is prescribed in the case of systemic diseases that trigger an increase in testosterone levels.
        3. Twisted testicle.In case of the pathology of the anatomical structure of the seed canal, surgical treatment is also indicated. The disease can be hereditary (congenital) or acquired (due to physical overstrain). When torsion is observed a violation of blood circulation, which threatens the death of the tissues of the penis.
        4. Not lowered into the scrotum testicle.This deviation is called cryptorchidism, often occurs during puberty, it is the underdevelopment of the reproductive system. In the diagnosis of this disease, unilateral testicular amputation in men is prescribed.
        5. Sex-change operation.This is an individual decision of a man to become a woman. At the same time, bilateral castration is performed in order to completely remove the male organ and the male testicles.
        6. Tissue injury.Damage must be very serious. If the organs of the scrotum were severely injured due to a blow, bruise, mechanical impact with piercing or cutting objects testabol reviews, then an orchectomy may be necessary.

        Even a weak blow in the groin can damage the testicle, so it is recommended to take all measures to prevent damage. The most common reason for prescribing a surgical amputation is cancer.

        Testicular cancer

        Oncology in modern medicine is no longer a sentence. New methods of treatment can save the patient’s life. Castration can be prescribed only after other methods have been tried: medication, radiation therapy and other methods.

        Indications for amputation of the testicle for cancer:

        • hormonal treatment does not help, drugs have shown low efficacy;
        • other methods of treatment are contraindicated in the patient due to the presence of concomitant diseases in history;
        • other treatments are poorly tolerated by men, side effects are observed;
        • cancer progresses, emergency surgery is required.

        First, the patient will be offered a method of chemical castration, by introducing into the body a large number of antiandrogens or estrogen. This method has advantages, as it can be reversible. However, in case of emergency and in case of intolerance to drug therapy, only surgery is indicated.

        The most popular question is whether a member will stand after an orchectomy. This is an individual reaction, depending on whether the testicles are completely or partially removed. Save the erectile function is possible with the amputation of one testicle. A man without testicles will not be able to experience orgasm, ejaculation is absent.

        Types of testicular amputation

        The operation is carried out under the control of not only the surgeon, then the anesthesiologist, the attending physician, the oncologist. There are only 2 types of amputation of the testicles. Which way to apply is decided after a full diagnosis and laboratory examinations of the patient.

        Radical orchectomy

        The most radical cancer treatment is complete orchectomy. Such an operation involves the amputation of both testicles. Prior to surgical treatment, radiation or chemotherapy is prescribed, which will help to reduce the tumor process. In case the additional treatment helped, the patient can save one testicle.

        If the tumor process has not spread beyond this organ, there is a low risk of recurrence, removal of the male testicles under general anesthesia is performed, epidural anesthesia is sometimes used (injection into the back).

        With a radical amputation, the surgeon removes both (or one, if a partial removal of the spermatic cord and testicle was performed before). At the same time, the testicles are only “detached” and not removed, since there is a risk of spreading cancer cells to the lymphatic system.

        Partial orchectomy

        Partial removal is an operation in which the male reproductive function is preserved, only one testicle is amputated. Unilateral orchectomy is prescribed if radiation therapy has yielded positive results and the tumor has not spread beyond the testicle.

        The operation is performed in the same way as the radical method: under general anesthesia or epidural. By the time the procedure takes no more than 30 minutes. The main difference is the preservation of one active testicle. Erectile function and the ability of men to conceive remain.

        General description of the operation

        Surgical treatment is carried out in a hospital. Before surgery, the patient needs to undergo a full diagnostic examination to rule out possible contraindications.

        It is also important to follow all the instructions of the doctor on the preparation. At home, you should also refuse to take certain medications. Blood thinners can cause bleeding during surgical treatment.

        Preparation for surgery

        Orchectomy is an uncomplicated surgical procedure. This method of treatment does not require special preparation. However, it is especially important to be a man psychologically prepared for amputation. The older the patient is, the more emotionally easier it is to tolerate such a measure.

        Preparatory procedures:

        1. Medical examinations.The patient is advised to visit not only the andrologist, but also the urologist, cardiologist, and other specialists to identify contraindications and prevent possible primobolan depot for sale complications.
        2. Laboratory research.General blood and urine tests, biochemical blood tests, coagulogram, and tests for infectious diseases are prescribed. A blood test for testosterone concentration is also prescribed. These studies provide an opportunity to determine the anatomical features of the affected testicles, to identify the activity of the male reproductive system.
        3. Ultrasound examination.Additionally, fluorography, cardiogram, ultrasound examination of not only the organs of the urogenital system, but also the cardiovascular can be shown.

        Complicating the situation is the need to remove the testicles in men who have no children. In this case, it is recommended to additionally visit a psychologist. After surgery, antidepressant maintenance therapy may be prescribed.

        A week and a half before the operation, it is necessary to cancel all drugs, in particular those containing aspirin, also anti-inflammatory agents, anticoagulants. The exception is drugs that do not affect the rate of blood clotting, they can continue to take.

        Modern medicine helps to preserve the ability to have offspring in the future. Semen may be frozen for subsequent fertilization through IVF. Such a measure will help save a man’s life and preserve the continuation of the race.

        These are measures that the patient can follow at home. The hospital undergoes hygienic procedures as directed by a doctor. It will require removal of hair from the genitals, and 6-8 hours before the surgery – refuse to eat. It is permissible to drink water, but 2-3 hours before the operation, it is necessary to give up drinking.

        Removal of the testicles in men; indications for genital...

        The course of surgery

        Removal of the male testicles is a simple operation. The risk of complications during treatment or during the recovery period is very low. Surgical treatment takes place in a hospital.

        Amputation time is individual, depending on the complexity of the lesion of organs and one-sided or bilateral type. Removing one testicle takes about 60 minutes. If bilateral castration is carried out, the operation may be delayed for 2-3 hours.

        The operation:

        1. A tissue incision is made along the scrotal suture. Sometimes access to the testis is through the groin area. Cut length – 3-5 cm.
        2. First, the surgeon interrupts the communication of the testicle with the spermatic cord. Then the testicle is removed through the scrotum.
        3. The procedure with the second testicle is repeated if necessary. Stitched seam.

        The whole operation lasts from 30 minutes to one and a half hours. A day later: check seams for bleeding, the presence of inflammatory processes and ligation. The stitches are removed after 7-10 days, the final healing occurs around the second week.


        In the absence of complications, stitches can be removed as early as the second week of rehabilitation. In the process of recovery, the man will feel uncomfortable, pain may appear in the groin area. The patient is prescribed anti-inflammatory and analgesic therapy.

        Numbness in the groin area is also considered normal. Extract occurs in 1.5-2 weeks after surgery. A man for another few weeks will not be able to do hard work, even drive a car.

        Return to sexual life will be possible in 1-2 months after healing. However, there is often a decrease in libido in patients with one testicle and the development of impotence with full castration.

        The rehabilitation period in the first month after surgery includes:

        • rejection of physical activity: sports and weight lifting;
        • you can not take a bath and go to public baths;
        • to maintain sexual peace;
        • use more pure water, follow the water-salt balance;
        • wear wide pants that do not pinch the genitals;
        • 2 times a day to perform hygiene procedures;
        • apply cold with swelling of tissues;
        • wear a bandage (supporting underwear);
        • eat right.

        In many patients after surgery, it disrupts the digestive process. It is recommended to eat foods rich in fiber, walk more in the open air and monitor the hygiene of the genitals. Compliance with all recommendations will facilitate the recovery process.

        Possible complications and consequences

        Do not think that after the removal of the testicle in a man, sexual desire disappears completely. Testosterone will be produced by the second testicle, but in smaller quantities. With complete castration, impotence develops almost always. Erectile function is subject to recovery, you should only consult a doctor.

        Possible complications and consequences after resection:

        • there is an excess weight from 5 to 10 kg;
        • stretching of the skin (aesthetic ugliness);
        • chest muscles increase, pain may occur;
        • sensitivity of the penis decreases;
        • the occurrence of erectile dysfunction;
        • depressed state;
        • hair loss;
        • chronic fatigue;
        • emotional instability, symptoms of female menopause;
        • osteoporosis.

        A small percentage of patients may also have bone problems. It is as if a person is aging faster, fatigue appears, which flows into a chronic form, plaque appears on the teeth. Due to dissatisfaction with the appearance of the genitals, psychological impotence may develop.

        Appearance after removal

        Many men choose plastic surgery to make the genitalia look more attractive. In a private clinic, they will be asked to tighten the tissue or put a testicle prosthesis. The choice depends on the financial capabilities and desires of men.

        Aesthetic correction and plastic

        Prosthetics of the testicle is an organ simulator. However, it should be borne in mind that this does not solve the problem of reproductive function, only the aesthetic appearance of the genital organs is changing. A prosthesis is inserted into the scrotum area, in weight, which feels and resembles a man’s testicle to the touch and appearance; one can assess the degree of similarity in the photo.

        Plastic correction lasts alcohol effects on bodybuilding about 1 hour. The rehabilitation period lasts about 2 weeks, while it is also worth eliminating physical exertion, sticking to proper nutrition, wearing supporting underwear.

        During the month, sexual dormancy remains, seams are removed after 1-2 weeks, or they dissolve on their own (depending on the materials used). Also, the doctor may prescribe additional hormonal or antibacterial therapy.

        Psychological help

        An important aspect is the support of the emotional state of a man. After surgical castration, the patient experiences psychological trauma. You can seek help from a psychologist or seek family support.

        Methods of psychological support for men:

        1. Positive emotions.The patient should be provided with a comfortable home environment.
        2. A change of scenery.It is recommended to visit the park, go to a cafe or do your favorite thing.
        3. Medication support.In advanced cases, when other methods do not help, prescribe antidepressants.

        To avoid experiences for future offspring, you should freeze the seminal fluid in advance. For the safety of the male ejaculate will be responsible clinic, in which the patient turned. Castration is not the end, a man can continue sex life and enjoy it.


        Learn more about how testicular removal occurs.

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