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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.
orchiectomyOrchidectomy 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.
orchiectomy, orchectomy (or?ke-ek'to-me) [ orchio- + -ectomy]
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.