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Reasons for Procedure
- Prostate cancer that has spread
- Testicular cancer
- Testicular torsion (when twisting of the spermatic cord cuts off blood supply)
- Nerve injury or damage to surrounding tissue or structures
- Reaction to anesthesia
- Chronic disease such as diabetes or obesity
What to Expect
Prior to Procedure
- Examine you
- Do imaging, blood, and urine tests
- Discuss the anesthesia being used and the potential risks
- Aspirin or other anti-inflammatory drugs
- Blood thinners (eg, warfarin , clopidogrel )
- 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 medicines 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. Try using ice packs or rolled towels. Take pain medicines as directed. Your doctor may recommend that you wear snug-fitting underwear and a jock strap for the first few days.
Keep the incision site clean and dry:
- Clean the incision site with lukewarm water and mild soap. Do this beginning the day after the surgery.
- Use a soft wash cloth to gently wipe the incision area.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- Be sure to follow your doctor’s instructions.
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
American Urological Association http://www.auanet.org/
Testicular Cancer Resource Center http://tcrc.acor.org/
Canadian Urological Association http://www.cua.org/
Health Canada http://www.hc-sc.gc.ca/index-eng.php
Orchiectomy surgery. St. Joseph’s Healthcare Hamilton website. Available at: http://www.stjoes.ca/media/PatientED/K-O/PD%206660%20Orchiectomy%20Surgery.pdf. Updated August 2009. Accessed August 17, 2010.
Testicular cancer treatments: the inguinal orchiectomy. Testicular Cancer Resource Center website. Available at: http://tcrc.acor.org/orch.html. Updated June 21, 2009. Accessed August 17, 2010.
6/6/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. 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: 09/2012
- Update Date: 01/27/2014