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- Overview
- Orchiectomy vs. scrotectomy
- Who’s a good candidate for this procedure?
- What can I expect before and during the procedure?
- What’s recovery like?
- Are there side effects or complications?
- What’s the outlook?
What is an orchiectomy?
An orchiectomy is surgery in which one or more testicles are removed.
The testicles, which are male reproductive organs that produce sperm, sit in a sac, called the scrotum. The scrotum is just below the penis.
There are two common orchiectomy procedures for transgender women: bilateral orchiectomy and simple orchiectomy. In a bilateral orchiectomy, the surgeon removes both testicles. During a simple orchiectomy, the surgeon could remove either one or both testicles.
During an orchiectomy, the surgeon will remove one or both testicles from the scrotum. During a scrotectomy, the surgeon will remove the entire scrotum or a portion of it.
If your transition will eventually include a vaginoplasty, the scrotal tissue may be used to create the vaginal lining. A vaginoplasty is the construction of a vagina using skin grafts. In these cases, a scrotectomy may not be recommended.
If there’s no scrotal tissue available for a vaginoplasty, the next option for constructing the vaginal tissue can often include skin grafts from the upper thigh.
It’s a good idea to talk to your doctor about all of your options. Be open with them about future surgeries you may plan to have. Before the procedure, talk to your doctor about fertility preservation and impact to sexual functioning.
An orchiectomy is a relatively inexpensive surgery with a short recovery time.
The procedure may be a first step if you’re heading toward vaginoplasty. In some cases, you may be able to have the orchiectomy at the same time you have a vaginoplasty. You can also schedule them as independent procedures.
Other procedures you may consider, especially if you’re planning a vaginoplasty, include:
•Partial penectomy. A penectomy is a surgical procedure that involves removing a portion of the penis. It’s commonly used as a treatment option for penile cancer.
•Labiaplasty. A labiaplasty is a procedure used to construct labia using skin grafts.
Orchiectomy may also be a good option for people who don’t react well to feminizing hormones or want to reduce the health risks and side effects from these medications. That’s because once the procedure is complete, your body will usually produce less endogenous testosterone, which can lead to lower doses of feminizing hormones.
To prepare for the procedure, your doctor will likely require proof that:
•You’re experiencing gender dysphoria.
•You’re able to consent to treatment and make a fully informed decision.
•You don’t have any unmanaged mental health or medical problems.
•You’ve reached the age of adulthood in the country that the procedure will take place
Generally, a doctor will ask you to provide letters of preparedness from two different mental health professionals. You’ll also likely need to complete one year (12 consecutive months) of hormone therapy before you undergo an orchiectomy.
Physical recovery from the procedure will last anywhere between a few days to a week. Your doctor will likely prescribe pain medications to manage pain and antibiotics to prevent infection.
Based on your reaction to the orchiectomy, your physician may reduce your estrogen dose and taper off any preoperative androgen blocker medication.
You may experience side effects and complications that are typical to surgery. These may include:
•bleeding or infection
•injury to surrounding organs
•scarring
•dissatisfaction with results
•nerve damage or loss of feeling
An orchiectomy is a relatively inexpensive outpatient surgery in which the surgeon removes one or both testicles.
The surgery can be part of a treatment plan for someone with prostate cancer, but it’s also a common procedure for a transgender woman undergoing gender confirmation surgery.
One major benefit to this surgery is, once completed, your doctor may recommend reducing your dose of feminizing hormones.
An orchiectomy is also often considered an important step toward a vaginoplasty, in which the surgeon constructs a functioning vagina.
- Aditi Pai
Jun 30, 2012 · The 3-minute clip, which was posted on Mundonarco.com, shows five shirtless members of the Zetas cartel, marked by black 'Z's on their chests, kneeling in front of four masked members of the...
Nov 26, 2023 · In some instances, testicular injury requires an orchiectomy. Removal of the testicles is also one of several procedures performed for transgender women. This article explains why an orchiectomy may be needed and how it is performed.
4 days ago · Video captures shooting at Trump rally. Link Copied! Donald Trump was rushed off stage with blood on his ear and face after a shooting during his rally in Butler, Pennsylvania. The Secret Service ...
