Orchiectomy Cost, Procedure & Recovery Time

Orchiectomy Cost, Procedure & Recovery Time

Orchiectomy Cost, Procedure & Recovery Time

Orchiectomy is a procedure used to remove one or both testicles surgically and treat conditions, including testicular cancer and prostate cancer. This surgical procedure is performed to remove one or two testicles, which can help men get relief from serious health conditions. It is a standard procedure that helps in the treatment of testicular cancer and prostate cancer. This surgery can be gender-affirming for transgender women to reduce the testosterone levels in the body.

What are the types of orchiectomy surgical procedures?

Surgical procedures, such as orchiectomy, and their different types, are used to treat different medical conditions. Here is a brief detail about the various types of orchiectomy:

Simple Orchiectomy is a common type of this surgical procedure in which the testicle is removed with a small incision in the scrotum. This is the most common surgery performed for testicular cancer or chronic pain.

Subcapsular Orchiectomy is a surgical procedure in which only the tissue inside the testicle is removed. This procedure is performed for patients who are suffering from prostate cancer to reduce testosterone levels, which are responsible for the growth of prostate cancer cells.

Radical Orchiectomy is a surgical procedure that involves the complete removal of the testicle and its surrounding structures. This surgery is usually considered best for patients who are diagnosed with testicular cancer.

Orchiectomy for Gender Confirmation is a part of gender-affirming surgery where the testicles are removed to help the individual with their gender identity.

What are the conditions where Orchiectomy can be recommended?

Here are some conditions and reasons that lead to the need for orchiectomy, including:

Testicular cancer

Orchiectomy is performed for testicular cancer in which one or both testicles are removed. If an individual is detected with cancer in one testicle, then unilateral orchiectomy can be a good option.

Prostate cancer

When advanced prostate cancer is detected, then orchiectomy is performed where the testosterone levels in the body are reduced with this procedure.

Chronic pain

The orchiectomy can be performed to relieve discomfort and pain caused due to the ongoing testicular pain.

Testicular Trauma

If the testicle is damaged due to infection or trauma, then orchiectomy is performed to remove it.

What should you expect from the procedure of orchiectomy?

  1. Before orchiectomy, the patient’s medical history, overall health, and the reason for the surgery are analyzed. The blood tests and imaging tests such as ultrasound, can be performed.
  2. Anesthesia is an important factor for orchiectomy, as this surgical procedure is performed under general anesthesia.
  3. When the unilateral orchiectomy is performed, it requires a small incision in the scrotum that removes one testicle.
  4. In a bilateral orchiectomy, both testicles are removed using small incisions.
  5. Subcapsular orchiectomy is performed if the procedure is being done for prostate cancer.
  6. After the removal of the testicles, the incisions are closed. The recovery time for this procedure generally depends on the extent of the surgery, as it is less invasive than open surgery.
  7. After surgery, the patient is observed and monitored in the recovery room for some hours to ensure no complications.

Cost for Orchiectomy?

The cost of the testicle removal surgery, or orchiectomy, can vary due to various factors, including procedure type and location. Whether the patient has insurance coverage, there can still be variation in the cost. Here are the details for the cost of orchiectomy:

Type of Procedure Estimated cost (per testicle)
Simple Orchiectomy $5,000-$10,000
Bilateral Orchiectomy $10,000 – $15,000
Radical Orchiectomy $15,000 – $20,000
Orchiectomy with prosthesis $10,000 – $15,000

These costs can vary with several factors such as the insurance coverage of patient, facilities provided by healthcare, and complexity of the surgery.

What can I expect from the recovery after Orchiectomy?

  • Need to stay in the hospital if both testicles are removed. Most men return home the same day or the next day after the surgery.
  • There can be discomfort or pain after the surgery, so pain relief medications are prescribed to relieve the pain within a few days.
  • Pain and swelling around the scrotum are common after this surgery, but this issue can be resolved in a few days.
  • Patients are advised to avoid activities such as sexual activities and heavy lifting for a few weeks, to allow the body to heal.
  • Patients must follow up on appointments to monitor any complications or risks due to the surgery.

Potential Risks and Complications

Generally, Orchiectomy is considered safe, but it can lead to some risks and complications, including:

  • The surgery can bring the risk of infection, and there can be some bleeding during or after the surgery.
  • Some bleeding that occurs is generally minor.
  • Those with prostate cancer can experience some hormonal imbalance due to testosterone reduction that can cause a few symptoms, including fatigue and mood swings.
  • The remaining testicle can shrink due to the hormonal changes in those patients who undergo bilateral orchiectomy.
  • Addressing emotional concerns with the counseling groups is required.

What is the recovery time for the surgical procedure, orchiectomy?

The recovery time for an orchiectomy (testicle removal surgery) typically ranges from a few weeks to months. Most individuals return to their normal activities within a few weeks, but the surgeon prescribes some activity restrictions, such as heavy lifting and strenuous exercises.

  • In the initial recovery, you will feel fine within a week after the surgery, but it may take several weeks for full recovery.
  • You need to avoid some activities, like heavy lifting and sexual activities, for a few weeks or months.
  • You may take 2-3 weeks to return to normal activities.
  • Follow-up appointments are essential and involve visits to your doctor to assess the progress after the surgery.
  • Knowing possible complications after the surgery, including infection, bleeding, or hormonal changes, is important.

Orchiectomy is an effective surgical procedure that offers a shorter recovery period. It is essential to consult a well-qualified and experienced urologist for the best possible outcomes of the surgery and to explore the different options for faster recovery and relief from the pain and discomfort.

Frequently Asked Questions Orchiectomy Cost, Procedure & Recovery Time:

Question. When should I consider Orchiectomy?

Answer. Orchiectomy, the surgical removal of one or both testicles, is recommended in the condition when there is confirmation of the testicular cancer, and the need for removal of damaged testicles. This surgery is beneficial in different conditions, including prostate cancer and testicular cancer.

Question. Can orchiectomy be used for non-cancerous medical conditions?

Answer. Yes, surgical testicle removal, orchiectomy, can be used for the treatment of various non-cancerous medical conditions, such as testicular trauma, undescended testicles, or gender-affirming surgeries for transgender women.

Question. What are the factors considered for Orchiectomy?

Answer. Orchiectomy involves the removal of the testicles (either one or both) for various conditions, such as testicular cancer, gender transition, and many more. It is essential to consider a few factors before surgery, including the overall health of the patient, the side effects of the hormonal changes, and suggestions for fertility.

Question: Can the removal of both testicles cause any side effects?

Answer: Yes, bilateral orchiectomy, in which both the testicles are removed, can lead to several side effects. The most common and notable side effect is infertility, which can reduce the possibility of producing sperm. This procedure can reduce testosterone levels and can result in erectile dysfunction.

About the Doctor
Medically Reviewed By

Dr. Mourad Abouelleil

Dr. Mourad Abouelleil is a highly skilled and certified urologist known for his dedication to excellence in advanced urological procedures, such as robotic prostatectomy, HIFU, etc. With cutting-edge technology and extensive experience, Dr. Mourad Abouelleil provides personalized treatment plans to meet the unique needs of every patient with quality medical care.