Type of Surgery
Information
Last updated: 02/17/2009
BOOKS
"Breast Disorders: Breast Cancer in Men." Section 18, Chapter 242 in The Merck Manual of Diagnosis and Therapy, edited by Mark H. Beers and Robert Berkow. Whitehouse Station, NJ: Merck Research Laboratories, 1999.
"Congenital...
Anomalies: Renal and Genitourinary Defects." Section 19, Chapter 261 in The Merck Manual of Diagnosis and Therapy, edited by Mark H. Beers and Robert Berkow. Whitehouse Station, NJ: Merck Research Laboratories, 1999.
Morris, Jan. Conundrum. New York: Harcourt Brace Jovanovich, Inc., 1974.
"Principles of Cancer Therapy: Other Modalities." Section 11, Chapter 144 in The Merck Manual of Diagnosis and Therapy, edited by Mark H. Beers and Robert Berkow. Whitehouse Station, NJ: Merck Research Laboratories, 1999.
"Sexual and Gender Identity Disorders." In Diagnostic andStatistical Manual of Mental Disorders, 4th edition, text revision. Washington, DC: American Psychiatric Association, 2000.
PERIODICALS
Berruti, A., et al. "Background to and Management of Treatment-Related Bone Loss in Prostate Cancer."Drugs and Aging, 19 (2002): 899–910.
Dawson, C. "Testicular Cancer: Seek Advice Early."Journal ofFamily Health Care, 12 (2002): 3.
Elert, A., K. Jahn, A. Heidenreich, and R. Hofmann. "The Familial Undescended Testis." [in German] Klinische Padiatrie, 215 (January–February 2003): 40–45.
Geldart, T. R., P. D. Simmonds, and G. M. Mead. "Orchidectomy after Chemotherapy for Patients with Metastatic Testicular Germ Cell Cancer."BJU International, 90 (September 2002): 451–455.
Incrocci, L., W. C. Hop, A. Wijnmaalen, and A. K. Slob. "Treatment Outcome, Body Image, and Sexual Functioning After Orchiectomy and Radiotherapy for Stage I-II Testicular Seminoma."International Journal of Radiation Oncology, Biology, Physics, 53 (August 1, 2002): 1165–1173.
Landen, M., et al. "Done Is Done—and Gone Is Gone. Sex Reassignment is Presently the Best Cure for Transsexuals." [in Swedish] Lakartidningen, 98 (July 25, 2001): 3322–3326.
Papanikolaou, Frank, and Laurence Klotz. "Orchiectomy, Radical."eMedicine,, October 3, 2001 [March 30, 2003].
Roberts, L. W., M. Hollifield, and T. McCarty. "Psychiatric Evaluation of a 'Monk' Requesting Castration: A Patient's Fable, with Morals."American Journal of Psychiatry, 155 (March 1998): 415–420.
Smith, M. R. "Osteoporosis and Other Adverse Body Composition Changes During Androgen Deprivation Therapy for Prostate Cancer."Cancer and Metastasis Reviews, 21 (2002): 159–166.
Stang, A., K. H. Jockel, C. Baumgardt-Elms, and W. Ahrens. "Firefighting and Risk of Testicular Cancer: Results from a German Population-Based Case-Control Study."American Journal of Industrial Medicine, 43 (March 2003): 291–294.
Stone, T. H., W. J. Winslade, and C. M. Klugman. "Sex Offenders, Sentencing Laws and Pharmaceutical Treatment: A Prescription for Failure."Behavioral Sciences and the Law, 18 (2000): 83–110.
Volm, M. D. "Male Breast Cancer."Current Treatment Options in Oncology, 4 (April 2003): 159–164.
ORGANIZATIONS
American Board of Urology (ABU). 2216 Ivy Road, Suite 210, Charlottesville, VA 22903. (434) 979-0059.
American Cancer Society (ACS). (800) ACS-2345.
American Prostate Society. P. O. Box 870, Hanover, MD 21076. (800) 308-1106.
Canadian Prostate Cancer Network. P. O. Box 1253, Lakefield, ON K0L 2H0 Canada. (705) 652-9200.
Centers for Disease Control and Prevention (CDC) Cancer Prevention and Control Program. 4770 Buford Highway, NE, MS K64, Atlanta, GA 30341. (888) 842-6355.
Harry Benjamin International Gender Dysphoria Association, Inc. (HBIGDA). 1300 South Second Street, Suite 180, Minneapolis, MN 55454. (612) 625-1500.
National Cancer Institute (NCI). NCI Public Inquiries Office. Suite 3036A, 6116 Executive Boulevard, MSC8332, Bethesda, MD 20892-8322. (800) 4-CANCER or (800) 332-8615 (TTY).
OTHER
Harry Benjamin International Gender Dysphoria Association (HBIGDA). Standards of Care for Gender Identity Disorders, 6th version, February, 2001 [April 1, 2003].
National Cancer Institute (NCI) Physician Data Query (PDQ). Male Breast Cancer: Treatment, December 9, 2002 [March 29, 2003].
NCI PDQ. Testicular Cancer: Treatment, February 20, 2003 {March 29, 2003].
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Other Information
Inguinal orchiectomy is a relatively minor surgical procedure to remove a testicle. The procedure is generally performed by a urologist. Often it is performed as same-day surgery, with the patient returning home within hours of the procedure. Some patients elect to have a prosthetic testicle inserted into their scrotum.
A 6cm incision is made above the pubic bone on the side corresponding to the testicle to be removed. The testicle is then pulled up through the inguinal canal, the spermatic cord is clamped off in two places and cut between the clamps.
The inguinal orchiectomy is a necessary procedure if testicular cancer is suspected.
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 spread within the testicle and cord.
The pathology report, along with pre-surgical imaging studies and tumor markers, will determine the course of treatment.
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