Orchiectomy (testicle removal)

Orchiectomy is a surgical procedure involving the removal of one or both testicles (testes). The operation may be indicated for oncological diseases, severe trauma, hormonal disorders, or as part of medical gender-affirming treatment.

When is orchiectomy required?

• In cases of testicular cancer.
• After severe trauma with irreversible damage to the testicle.
• With pronounced hormonal imbalance associated with testicular diseases.
• As part of treatment for prostate cancer (androgen-deprivation therapy).
• In infectious diseases accompanied by tissue necrosis.
• For medical gender-affirming treatment (feminization in transgender patients).

Types of orchiectomy

• Unilateral orchiectomy – removal of one testicle (for trauma or tumors).
• Bilateral orchiectomy – removal of both testes (for hormone-dependent tumors).
• Radical orchiectomy – removal of the testicle together with the spermatic cord (in oncological cases).
• Subcapsular orchiectomy – removal of the inner testicular tissue while preserving the capsule (used in prostate cancer treatment).

How is the procedure performed?

1. Diagnostics and preparation – ultrasound, MRI, blood tests, and biopsy (in oncological cases) are performed.
2. Anesthesia – the operation is carried out under local or general anesthesia.
3. Testicle removal – the surgeon makes an incision in the inguinal or scrotal region and removes the testicle.
4. Hemostasis and closure – bleeding is controlled and cosmetic sutures are applied.
5. Postoperative monitoring – the patient undergoes rehabilitation and, if necessary, hormone replacement therapy.

Main advantages of modern orchiectomy methods in Belarus

• Minimal surgical trauma due to laparoscopic and minimally invasive techniques.
• Possibility of prosthetic implantation (silicone testicular implant).
• Rapid recovery and a short rehabilitation period.
• Reduced risk of hormonal complications with timely therapy.
• High effectiveness in the treatment of oncological and hormone-dependent diseases.

The operation is performed in leading urological and oncological clinics in Belarus using modern techniques. Highly qualified specialists ensure safe and precise surgical intervention, as well as comprehensive postoperative care.