Orchiectomy is a surgical removal of one or both testicles and the full spermatic cord through an incision in the abdomen. The procedure is generally performed by an urologist. Patient can return back to home within hours of the procedure. Elected patients need to insert a prosthetic testicle into their scrotum.Orchiectomy is a necessary procedure if testicular cancer is suspected.
4-6 cm incision is made above the pubic bone corresponding to the testicle to be removed. Once the incision has been made the surgeon pushes the testicle up through the pelvic region. The incision is extended down through the fat until the external oblique fascia is encountered. It is incised along its fibers and the spermatic cord is identified and isolated. From there, the testicle is pulled into the field through the inguinal canal. The spermatic cord is clamped off in two places and cut between the clamps. Long permanent sutures, usually silk or polypropylene, are left on the stump of the spermatic cord as a marker in case it needs to be removed in the future during a retroperitoneal lymph node dissection.
Complications from this procedure include the usual bleeding and infection. The ilioinguinal nerve which runs anterior to the spermatic cord may be damaged during the operation and cause numbness over the inner thigh or chronic groin and scrotal pain.
If the orchiectomy is performed to diagnose cancer, the testicle and spermatic cord are then sent to a pathologist to determine the makeup of the tumor, and the extent of spreading within the testicle and cord.
Determination of course of treatment depends on the pathology report along with pre-surgical imaging studies and tumor markers.
4-6 cm incision is made above the pubic bone corresponding to the testicle to be removed. Once the incision has been made the surgeon pushes the testicle up through the pelvic region. The incision is extended down through the fat until the external oblique fascia is encountered. It is incised along its fibers and the spermatic cord is identified and isolated. From there, the testicle is pulled into the field through the inguinal canal. The spermatic cord is clamped off in two places and cut between the clamps. Long permanent sutures, usually silk or polypropylene, are left on the stump of the spermatic cord as a marker in case it needs to be removed in the future during a retroperitoneal lymph node dissection.
Complications from this procedure include the usual bleeding and infection. The ilioinguinal nerve which runs anterior to the spermatic cord may be damaged during the operation and cause numbness over the inner thigh or chronic groin and scrotal pain.
If the orchiectomy is performed to diagnose cancer, the testicle and spermatic cord are then sent to a pathologist to determine the makeup of the tumor, and the extent of spreading within the testicle and cord.
Determination of course of treatment depends on the pathology report along with pre-surgical imaging studies and tumor markers.
No comments:
Post a Comment