Can you have a private testicular removal?

Orchiectomy is a surgical treatment for male testicular tumors or other tumors in the scrotum. It is a rapid and effective treatment method. Orchiectomy can be performed under local anesthesia. Within three to eight hours after the operation, the male hormone in the blood cells can be reduced to the castration concentration value. It is the most traditional, rapid and effective treatment method.

Surgery can achieve the goal of removing pathogens and eradicate primary testicular diseases. However, the level of male hormones will be affected after surgery. Blood circulation should be thorough during surgery to prevent scrotal abscess or infection after surgery. Patients with tumors must undergo high ligation of the spermatozoa and then remove the spermatozoa and testicles together to prevent treatment migration.

Anesthesia method:

The male testicles are perfectly fixed and no longer loose as before, making the male's sexual life smoother and no longer causing chest tightness and shortness of breath.

Treating diseases

In men, a tumor of the testicles or another tumor in the scrotum.

2. More serious testicular damage, such as spermatic cord torsion that causes testicular necrosis in men.

3. Superior hidden testicles that are shrunken, and testicular atrophy caused by old abscesses of the tunica vaginalis.

4. Recurrent purulent epididymal cystic testicular inflammation or advanced epididymal cystic testicular tuberculosis.

5. Prostate cancer. A small number of patients with prostate hyperplasia need castration.

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 surgical suture.