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Orchidectomy- In more detail


Orchidectomy

An Operation for the Surgical Removal of the Testicles

Because testosterone is made in the testicles an orchidectomy is the simplest way of stopping its production. This will help to stop prostate cancer from growing and may even cause it to shrink. Some men prefer this operation to taking medication over a long period. If you have been suffering from cancer-related pain it will be relieved by an orchidectomy in most men for a period of time.

What are the adverse side-effects of this operation?

Because an orchidectomy cannot be reversed, you must consider the following permanent adverse side-effects before giving your consent.

• you will be impotent or unable to have an erection

• you will lose your sex drive

• you will be infertile

• you will experience hot flushes (this is due to hormonal changes)

• you will be left with little tissue in your scrotum (you can have implants to overcome this)

What does this operation involve and are there any risks?

This operation is performed under a local or
general anaesthetic, so it carries a small risk
of anaesthetic complications. It can be done
as a day case but sometimes there may be an
overnight stay. There will be some pain in the
week after the operation which is usually
helped by painkilling tablets.


In the week after you have been discharged
from hospital you will probably have to visit
your GP's surgery to have the wound checked
by the nurse. If you are unable to do this a
district nurse will visit you at home. You should
take things easy in the first week and avoid
any heavy lifting. It is important to keep your
wound clean. Regular baths will help do this.

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PROSTATE CANCER SUPPORT SCOTLAND
Formerly the Scottish Association of Prostate Cancer Support Groups
President: John Duncan
Scottish Charity No. SC 029158