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Reasons for Procedure
- Prostate cancer that has spread
- Testicular cancer
- Testicular torsion—twisting of the spermatic cord that cuts off the blood supply
- Nerve injury or damage to surrounding tissue or structures
- Reaction to anesthesia
What to Expect
Prior to Procedure
- A physical exam
- Imaging, blood, and urine tests
- Talk about anesthesia and the potential risks
- Arrange for a ride home from the hospital.
- In most cases, you will need to avoid eating and drinking for 6-8 hours before the procedure. Ask your doctor when you should stop eating and drinking.
Description of Procedure
How Long Will It Take?
How Much Will It Hurt?
- Pain medications and IV fluids
- Ice pack and other scrotal support
- Washing their hands
- Wearing gloves or masks
- Keeping your incisions covered
- Washing your hands often and reminding visitors and healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
- Not allowing others to touch your incisions
- Walking and light activity is important. Avoid strenuous activities and heavy lifting for a few weeks.
- Swelling and soreness is normal. Use ice packs as advised. Your doctor may recommend that you wear snug-fitting underwear and a jock strap for the first few days.
- Ask your doctor when you can resume sexual activity.
- Follow incision care instructions to avoid infection.
Call Your Doctor
- Increasing pain, discharge, redness, or swelling at the incision site
- Pus or odor from the incision site
- A lot of bleeding
- Stitches loosen or fall out
- Signs of infection, including fever and chills
Testicular Cancer Resource Center http://tcrc.acor.org
Urology Care Foundation http://www.urologyhealth.org
Canadian Cancer Society http://www.cancer.ca
Health Canada http://www.hc-sc.gc.ca
Orchiectomy surgery. St. Joseph’s Healthcare Hamilton website. Available at: http://www.stjoes.ca/patients-visitors/patient-education/patient-education-k-o. Accessed November 18, 2015.
Testicular cancer treatments: the inguinal orchiectomy. Testicular Cancer Resource Center website. Available at: http://tcrc.acor.org/orch.html. Updated December 9, 2012. Accessed November 18, 2015.
6/6/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Mills E, Eyawo O, et al. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
- Reviewer: Adrienne Carmack, MD
- Review Date: 11/2015 -
- Update Date: 12/20/2014 -