Orchiectomy surgery costs

For male testicular tumors, orchiectomy is performed by first ligating and cutting the spermatic flexure at a high position around the internal annular line, and then performing orchiectomy of the tumor. When orchiectomy is performed due to other diseases or damage, the spermatic flexure can be cut at the bottom and the testicles can be removed. So how much does orchiectomy cost?

Anesthesia methods and preoperative preparation

1. Anesthesia Method

Spinal anesthesia or continuous epidural block anesthesia; children use general anesthesia or basic anesthesia plus local anesthesia.

2. Prepare in advance before surgery

(1) If it is epididymal cystotesticular tuberculosis, anti-tumor treatment should be given for more than 1 week before surgery; if it is purulent epididymal cystotestitis, anti-infection treatment should also be given before surgery.

(2) Shave pubic hair one day before surgery.

Indications

1. Male testicular tumor or other malignant tumor in the scrotum.

2. Adults with superior cryptic testicles and testicular atrophy, or those who cannot lower and fix the testicles in the scrotum.

3. Those with more serious testicular damage who cannot be saved after surgical exploration.

4. Male testicle necrosis caused by spermatic cord torsion.

5. Late-stage epididymal cyst and testicular tuberculosis, which makes the male testicles unpreservable.

6. Purulent epididymal cystic orchitis, recurrent disease, leading to necrosis of male testicular tissue.

7. Men with old abscesses of the testicular tunica vaginalis, which lead to testicular atrophy.

8. Other diseases that require castration, such as prostate cancer, require bilateral orchiectomy. In a small number of cases of prostate hyperplasia, bilateral orchiectomy may also be performed.

Surgical treatment process

1. For patients diagnosed with male testicular tumors before surgery, an oblique incision in the groin is used; for patients with non-male testicular tumors, an incision at the upper end of the scrotum is used; for patients with bilateral non-tumorous testicular removal, an incision in the middle of the scrotum can also be used. If the characteristics of male testicular degeneration cannot be confirmed before surgery, an incision at the upper end of the scrotum can be used.

2. Separate the seminal flexor flexor until it reaches the area around the internal inguinal annulus.

3. Finally, remove all the contents of the scrotum, including the male testicles, epididymal cysts, and seminal tract. If the tumor is adhered to the surrounding tissues, that part of the scrotum should be removed as well.

4. Drainage method and sutures.

FAQ

1. Lift the scrotum or apply pressure bandage to prevent rupture of scrotal capillaries or abscess formation.

2. The internal scrotal drainage device should be removed 24 to 48 hours after the operation.

3. The wound sutures will be removed 7 days after the operation.

4. After the sutures are removed from the wound of male testicular malignant tumors, retroperitoneal lymph node elimination, tumor radiotherapy, or organic chemotherapy are performed according to the pathological characteristics and systemic conditions.

In the outpatient clinic of the municipal tertiary-level A-class hospital, the cost of orchiectomy surgery is 960 yuan. If upper body anesthesia is chosen, the anesthesia fee is about 1,000 yuan; if general anesthesia is chosen, the anesthesia fee is about 2,000 yuan. You can be hospitalized for rehabilitation treatment about a week after the operation.