Orchidectomy, also known as orchidectomy or orchiectomy, is a surgical procedure involving the removal of one or both testicles, the male reproductive glands responsible for producing hormones like testosterone and sperm. This surgical intervention is primarily performed for various medical reasons, including the treatment of testicular cancer, undescended testicles (cryptorchidism), or to manage advanced prostate cancer. The procedure is conducted under general anesthesia, and the surgeon makes an incision in the groin area or scrotum to access the testicles. In cases of testicular cancer, where the goal is to prevent the spread of the disease, a radical inguinal orchiectomy is often performed, involving removal of the testicle via an incision in the groin. Alternatively, a simple orchiectomy involves the removal of the testicle through an incision in the scrotum. Orchidectomy may lead to changes in hormone levels, affecting sexual function and fertility. In cases where both testicles are removed, it causes infertility and a need for lifelong hormone replacement therapy to maintain normal hormone levels. However, it can be a crucial treatment option in managing certain cancers, preventing their progression and improving the patient's prognosis and quality of life. Post-operative care involves managing discomfort, monitoring for complications, and addressing concerns related to hormonal changes through appropriate medical interventions.
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