DEFINITION-Removal of one of the testicles (orchiectomy).
BODY PARTS INVOLVED-Scrotum; testicle; vas deferens; blood vessels and nerves in the
REASONS FOR SURGERY-Cancer or gangrene of the testicle.
SURGICAL RISK INCREASES WITH
- Adults over 60.
- Chronic illness.
- Use of drugs such as: antihypertensives; muscle relaxants; tranquilizers; sleep
inducers; insulin; sedatives; beta-adrenergic blockers; or cortisone.
- Use of mind-altering drugs, including: narcotics; psychedelics; hallucinogens;
marijuana; sedatives; hypnotics; or cocaine.
What To Expect
WHO OPERATES-Urologist or general surgeon.
- Before surgery: Blood and urine studies; x-rays; CT scan (See Glossary).
- After surgery: Blood studies.
- Spinal anesthesia by injection.
- Local anesthesia by injection.
DESCRIPTION OF OPERATION
- An incision is made in the inguinal region or scrotum. The blood supply and nerves
leading to the testicle are located and cut free.
- The testicle is cut free from surrounding tissue and removed.
- The skin is closed with sutures that will be absorbed by the body.
- Excessive bleeding.
- Surgical-wound infection.
AVERAGE HOSPITAL STAY-3 to 6 days.
PROBABLE OUTCOME-Expect complete healing without complications. Allow about 3 weeks
for recovery from surgery. Removal of one testicle should not interfere with normal sexual
function or the ability to have children.
- Apply an ice pack to the surgical area as needed for the first 24 hours after surgery to
prevent excessive swelling.
- Use an electric heating pad, a heat lamp or a warm compress to relieve incisional pain
beginning 24 hours after surgery.
- Bathe and shower as usual. You may wash the incision gently with mild unscented soap.
- Wear an athletic supporter for 4 to 6 weeks.
† You may use non--prescription drugs, such as acetaminophen, for minor pain.
† To help recovery and aid your well--
being, resume daily activities, including work, as soon as you are able.
- Avoid vigorous exercise for 6 weeks after surgery. > Resume driving 2 weeks after
returning home. > Resume sexual relations when your doctor determines that healing is
DIET-Clear liquid diet until the gastrointestinal tract functions again. Then eat a
well--balanced diet to promote healing.
Call Your Doctor If
† You experience nausea, vomiting, or discomfort or difficulty in urination.
- Pain, swelling, redness, drainage or bleeding increases in the surgical area.
- You develop signs of infection: headache, muscle aches, dizziness or a general ill
feeling and fever.
- New, unexplained symptoms develop. Drugs used in treatment may produce side effects.