Orchiectomy / Testicle Implant
Orchiectomy is the surgical removal of one or both testicles, typically performed to treat testicular cancer, severe trauma, or as part of gender-affirming surgery. The procedure can also be done to reduce testosterone levels in cases of prostate cancer. Following orchiectomy, some men may opt for a testicle implant, which is a prosthetic device inserted into the scrotum to restore the appearance of a normal testicle. The implant is typically made of silicone and is placed during the same surgery or later, depending on the patient’s preference. Both procedures are generally safe, with recovery times varying depending on the extent of surgery.
Orchiectomy is the surgical removal of one or both testicles, typically performed to treat testicular cancer, severe trauma, or as part of gender-affirming surgery. The procedure can also be done to reduce testosterone levels in cases of prostate cancer. Following orchiectomy, some men may opt for a testicle implant, which is a prosthetic device inserted into the scrotum to restore the appearance of a normal testicle. The implant is typically made of silicone and is placed during the same surgery or later, depending on the patient’s preference. Both procedures are generally safe, with recovery times varying depending on the extent of surgery.
Treatment
Types of Orchiectomy:
Radical Inguinal Orchiectomy: This procedure is commonly performed when testicular cancer is suspected. The surgeon makes an incision in the groin area to remove the entire testicle and spermatic cord, which helps prevent the potential spread of cancer cells.
Simple Orchiectomy: Often utilized in the management of advanced prostate cancer or as part of gender-affirming surgery, this procedure involves removing the testicle through an incision in the scrotum.
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Subcapsular Orchiectomy: In this approach, the glandular tissue surrounding each testicle is removed, leaving the outer shell intact. This method maintains the appearance of the scrotum while eliminating testosterone-producing tissue.
Testicular Prosthesis Implantation:
Following an orchiectomy, some individuals opt for the placement of a testicular prosthesis to restore the scrotum's appearance. Modern prosthetic testicles are typically filled with saline, designed to mimic the size, weight, and feel of a natural testicle.
Considerations for Testicular Implants:
Timing: Prosthetic implantation can occur concurrently with the orchiectomy or at a later date, depending on the patient's preference and medical considerations.
Risks: Potential complications include infection, scarring, hardening of surrounding tissue, or rupture of the implant. It's essential to discuss these risks with a healthcare provider when considering a prosthetic testicle.