Orchiectomy

An orchiectomy is a surgical procedure to remove one or both testicles, most often for medical reasons such as tumors, injuries, hormone therapy, or infections.

At Medical Time hospital, this procedure is performed with maximum safety protocols, discretion, and support for patients throughout the entire treatment process.

The surgery is usually performed under general or regional anesthesia, and the intervention itself is short, with a quick postoperative recovery.

In addition to medical reasons, an orchiectomy can also be performed for therapeutic reasons for certain hormone-dependent cancers, such as prostate cancer.

The procedure is also applied to patients who have severe chronic pain caused by testicular pathologies that have not responded to other forms of treatment.

Psychological preparation of patients before surgery is an important component of successful treatment and long-term recovery.

Orchiectomy is an effective solution that provides relief and prevents the further development of complications.

When is an orchiectomy recommended?

The most common indications for an orchiectomy include testicular cancer, prostate cancer, necrotizing orchitis, and chronic pain.

The procedure is also recommended for severe testicular injuries or as part of therapy for patients with hormone-sensitive malignancies.

In transgender medicine, an orchiectomy can be performed as part of gender-affirming surgery for people in transition.

Before any intervention, the patient undergoes a detailed examination, laboratory analyses, and consultations with a urologist and an anesthesiologist.

Sometimes an orchiectomy is also recommended as a preventive measure in case of a high risk of malignancy.

In patients with persistent infections that do not respond to therapy, an orchiectomy may be the last option.

The decision about the surgery is made based on a multidisciplinary approach by the medical team.

Course of surgery and types of orchiectomy

Depending on the reason, an orchiectomy can be unilateral (removal of one testicle) or bilateral (removal of both testicles).

The procedure is performed through a small incision in the groin or scrotal area, and the entire process lasts between 30 and 60 minutes.

Postoperatively, a sterile bandage is applied, and the patient is discharged with detailed instructions for care and recovery.

For aesthetic reasons, it is possible to immediately implant a testicular prosthesis to preserve the appearance of the scrotum.

The surgery is performed using modern surgical techniques that allow for precision and a minimally invasive approach.

Anesthesia is chosen in accordance with the patient's general health and the planned type of procedure.

After the intervention, the patient remains under supervision for a few hours before being discharged home.

Recovery after orchiectomy

Most patients return home the same day or the day after the surgery.

In the early days, there may be pain, swelling, or discomfort in the groin area, which is successfully controlled with medication.

A return to daily activities is possible in 7 to 10 days, while heavy physical activity is postponed for 3 to 4 weeks.

Depending on the type of orchiectomy, the patient may have a hormonal evaluation and, if necessary, start hormone replacement therapy.

In most cases, wounds heal quickly and without complications with regular hygiene and medical care.

Patients are advised to avoid prolonged sitting and straining in the first days of recovery.

Follow-up examinations are performed in consultation with the doctor to monitor healing and introduce additional therapy if needed.

Advantages of treatment at Medical Time hospital

Our team of experts in urology and oncology has many years of experience in performing orchiectomies with a high success rate.

The surgery is performed in sterile conditions, with the latest safety protocols, precise diagnostics, and comprehensive postoperative supervision.

Patients also have access to psychological support and counseling on hormone therapy if needed.

Discretion, professionalism, and support throughout the entire process are the foundation of our approach to every patient.

Our hospital has modern equipment and comfortable living conditions.

An individualized treatment plan ensures the best possible outcome for each patient.

Possible complications and how we prevent them

Complications are rare, but they can include infection, bleeding, swelling, or hematoma.

Thanks to modern techniques and expert supervision, patients go through recovery without difficulty.

Regular check-ups and careful monitoring of the postoperative course reduce the risk of later problems.

Our team provides clear instructions and availability at every stage, from preparation to the end of recovery.

Timely recognition of complication symptoms allows for a quick response and the prevention of major problems.

Patients are educated about the signs they should monitor at home.

There is always the possibility of an additional consultation with a doctor in case of any doubt.

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Outpatient services, therapies and home visits are available during regular working hours.