simple orchiectomy

Orchiectomy can be performed under local anesthesia, and the concentration of male hormones in the serum can be reduced to castration within three to eight hours after surgery. This is the most traditional, rapid and effective treatment. The eunuchs in the ancient palaces lost their sexual life after adulthood because they castrated testicles before puberty. It is now impossible to have another childhood castration testicle. However, when you have testicular tumors, severe orchitis, and testicular tuberculosis, you need to remove the testicles. When you have prostate hyperplasia and prostate cancer, you need to remove the testicles in order to reduce androgen levels and control your condition. After these patients have testicular excision, can they still have sex? If the testis is removed, the secretion of testosterone is obviously reduced by half, and the level of testosterone in the blood is reduced. However, the testis on the other side is still alive. . Moreover, after a long time, the amount of testosterone secretion on this side will be somewhat compensatory. Therefore, the removal of the unilateral testis, the vast majority of the penis can still erect, still able to maintain a good sexual function, still can have children. If both testes are removed, the source of testosterone in the body will be cut off, and the level of testosterone in the blood will drop or even disappear. At this time, a small amount of androgen secreted by the adrenal cortex cannot be compared with the testosterone secreted by the testes in terms of quality or quantity, and thus the ability to sexual life is lost. However, with the improvement of medical level, if the penile sponge can be injected with vasoactive drugs such as papaverine, phentolamine and prostaglandin E1; or by surgery, the penile prosthesis is built into the corpus cavernosum to support the penis. Treatment of diseases: testicular cyst testicular tumor Indication 1. Testicular tumor or other tumor in the scrotum. 2. Severe testicular damage, the spermatic cord is twisted to make the testicles have been necrotic. 3. High cryptorchidism and atrophy, testicular sheath old hematoma caused by testicular atrophy. 4. Suppurative epididymal orchitis recurrent or advanced epididymal testicular tuberculosis. 5. Prostate cancer, a small part of benign prostatic hyperplasia needs to be treated by castration. Contraindications 1. In addition to the longitudinal incision of the scrotum, the incision can also make a transverse incision at the bottom of the scrotum. In the epididymal tuberculosis, it is best to have a high longitudinal incision, such as epididymal tuberculosis with a scrotal sinus, a fusiform incision around the sinus. 2, pay attention not to damage the spermatic vessels during surgery. When the epididymis head is removed, the spermatic blood vessels enter the testis here, so they should be placed close to the epididymis wall. 3. The ureteral stump can be wiped with carbonic acid, alcohol and salt water, and then ligated with silk thread. In the epididymal tuberculosis, the stump of the vas deferens can be pulled out through the skin of the scrotum root and fixed on the skin. 4, scrotal surgery should completely stop bleeding, prevent the placement of rubber sheets. If the epididymal tuberculosis should stop bleeding carefully, do not let the drainage, so as not to heal the wound or form the sinus. Preoperative preparation 1. The external genitalia and perineum are washed repeatedly with soapy water. 2. Shave the pubic hair one day before surgery. 3. Preoperative enema once. Surgical procedure 1. Incision: The longitudinal incision of the root of the scrotum is about 4 to 6 cm long. Cut the skin, the meat film, the external fascia of the spermatic cord, expose and release the spermatic cord. 2. Separate the spermatic cord and the vas deferens at the root of the scrotum, respectively, and cut and ligation. 3. Pull the testicles out of the scrotum, cut off the testicular ligaments, and firmly ligature the stump. 4. Stop the bleeding carefully, and poke the hole at the bottom of the scrotum to place the rubber drain strip. The incision was sutured according to the layer and bandaged. complication 1. Hemorrhage in the scrotum: Mostly caused by intraoperative hemostasis. Those with less bleeding can keep the circulation smooth, local cold compress, pressure bandaging, treatment with hemostatic drugs, and bleeding can stop. When a large amount of bleeding occurs, it is necessary to promptly detect hemostasis and expand drainage. In the late stage of hematoma in the scrotum, local physiotherapy is given to promote mechanization and absorption. 2. Infection: Infection of the scrotum should be controlled with sufficient antibiotics. Once suppuration, the drainage is cut early.

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