orchiectomy


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Related to orchiectomy: orchidectomy
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orchiectomy

 [or″ke-ek´to-me]
excision of one or both testes, done when a testis is seriously injured or diseased (as in testicular cancer).

If both testes are removed (bilateral orchiectomy or castration), the ability to reproduce is ended. There is also a decrease in production of testosterone, and although bilateral orchiectomy does not interfere with the ability to have sexual intercourse, the loss of both testes can reduce sexual desire. When this occurs before puberty, it prevents the development of secondary sex characters because of testosterone deficit. Replacement therapy may be necessary to maintain a desirable level of the hormone. If the procedure is done after puberty, when the masculine characters have already developed, the effects are much less extreme.
Patient Care. The patient having orchiectomy for treatment of testicular cancer will have special needs in addition to those expected in a cancer patient. He will need help in dealing with problems related to his masculinity, self-concept, and sexual activity. He should be given time to think about and discuss the effects of his surgery. The surgeon is responsible for informing the patient about the procedure and its anticipated long-term effects. The nurse and other health care personnel can clarify any information the patient and his family may have been unable to assimilate during their conference with the surgeon. All members of the health care team should know the expected prognosis and be prepared to answer the patient's questions truthfully and matter-of-factly. He will need an optimistic outlook and encouragement to deal with the future without being given false hope and unreasonable expectations for recovery from the effects of his therapy.

or·chi·ec·to·my

(ōr'kē-ek'tŏ-mē),
Removal of one or both testes.
[orchi- + G. ektomē, excision]

orchiectomy

(ôr′kē-ĕk′tə-mē) or

orchidectomy

(-kĭ-dĕk′-)
n. pl. orchiecto·mies
Surgical removal of one or both testes.

orchiectomy

Orchidectomy Urology The surgical removal of one or both testicles Indications CA–eg, seminoma or other germ cell tumor, hormonal ablation in Pts with prostate CA; hormonal deletion in habitual sex offenders. See Inguinal orchiectomy.

or·chi·ec·to·my

(ōr'kē-ek'tŏ-mē)
Removal of one or both testes.
Synonym(s): orchidectomy, testectomy.
[orchi- + G. ektomē, excision]

orchiectomy

, orchectomy (or?ke-ek'to-me) [ orchio- + -ectomy]
Enlarge picture
ORCHIECTOMY: the right testicle is surgically absent
Surgical excision of a testicle or the testicles. Synonym: androgen deprivationmale castration; orchidectomy See: illustration

Patient care

The plan of care and expected outcome of the surgery are explained, and information is provided about scrotal prostheses. Patient teaching is modified according to the extent of surgery. Deep-breathing and coughing exercises are taught, and the importance of early ambulation and activity after surgery is emphasized. Pain control measures are discussed, and the patient is advised to seek pain relief in the postoperative period before pain becomes severe. If only one testicle is removed and the other one is healthy, impotence does not occur. If both testicles are removed, the patient may require hormone replacement therapy. Support and reassurance are offered to the patient and family. Patients having this surgery for testicular cancer are offered the opportunity to bank sperm prior to the surgery.

Orchiectomy

Surgical removal of the testes that eliminates the production of testosterone to treat prostate cancer.
References in periodicals archive ?
The case presented here was apparently not a candidate for testis-sparing surgery, and the patient therefore underwent radical orchiectomy.
The present study was done to evaluate the effects of combined androgen blockade in the treatment of advanced carcinoma prostate by bilateral orchiectomy with flutamide.
An orchiectomy, especially in early-stage disease, is advantageous because it provides tissue for pathologic evaluation and removes a sanctuary site, as the blood-testis barrier makes testicular tumors inaccessible to systemic chemotherapy.
A radical inguinal orchiectomy is the procedure of choice in treating a malignant testicular mass (NCI, 2008b).
Orchiectomy is necessary for diagnosis and is the treatment of choice for all testicular cancers.
This was not true for bilateral orchiectomy; the ratio decreased markedly between 1986 and 1992, reflecting the large drop in the mortality rate among black males.
(2007) observed that the use of emasculator techniques resulted in faster healing and less pain in the long-term, whereas RR induced discomfort equivalent to orchiectomy, with painful response to local palpation for up to 30 days.
This is a retrospective cohort study conducted with 12 PTL patients of DLBC variant treated by surgery (orchiectomy) and R-CHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, prednisolone) between 2004 and 2015 at our institution.
The risk of relapse after radical inguinal orchiectomy alone is estimated to be 1 3-20% at five years, (15-18) but long-term cure rates approach 100%.
Approximately 70% and 85% of patients with clinical stage I NSGCT and seminoma, respectively, will be cured by orchiectomy alone [6-8].
Patient underwent right radical orchiectomy. Chest abdomen pelvis Computed Tomography (CT) scan was negative for metastasis.
The surgical treatment options for this tumor vary in a range of techniques from testis-preserving surgery to radical orchiectomy. However, today, medical treatment is opted as the first choice.