Orchidectomy in Thailand

Orchiectomy, often called orchidectomy, is a surgical surgery that removes one or both testicles.

This operation is frequently used as part of sex reassignment surgery (SRS) for transgender women or as palliative care for advanced prostate cancer. Orchiectomy may also be performed in the event of a testicular torsion.

Preparation Before Surgery:

 Medical history evaluation, including allergies and significant medical conditions.

drugs (both prescribed and non-prescribed), physical

Examinations and laboratory testing will be performed during the consultation.

 Avoid smoking for 3-4 weeks before surgery, as nicotine can interfere.

with circulation and will significantly alter the healing process.

 Avoid alcohol for a week prior to surgery and throughout recovery.

Recovery period.

 Avoid taking drugs like hormones or anticoagulants.

Use anabolic steroids and supplements for at least 4-6 weeks to avoid complications.

Prior to surgery, avoid consuming aspirin and anti-

Anti-inflammatory medications and herbal remedies can also cause bleeding.

 A psychiatric evaluation indicating suitability for surgery. Our surgeon needed one certificate from your native nation and one from Thailand.

 Our surgeon required HIV testing before planning your procedure. We exclusively accept HIV-negative clients.

During this procedure:

The patient is lying flat on an operating table, with the penis taped to the abdomen. The nurse will shave a small area around the incision. After administering anesthetic, the surgeon will create an incision in the middle of the scrotum and cut through the underlying tissue. The surgeon makes an incision and removes the testicles and sections of the spermatic cord. The wound is closed with two layers of sutures and a surgical dressing. If the patient prefers, a prosthetic testicle can be implanted before the incision is closed to give the look of a pre-surgical scrotum. 

Operating time:

It takes 1–2 hours.

Type of anesthesia used:

This operation is performed with local or general anesthesia.

Hospital or clinic stay:

Patients who have surgery under local anesthetic can return home immediately, whereas those who have surgery in the hospital must stay for one night.

Days of stay in Thailand:

At least 7–14 days.

Risks and complications:

The most serious risk of surgical orchiectomy is hematoma (or bleeding into the scrotum). It is usual for the scrotum to feel bruised, swollen, and sensitive for 2-4 weeks following surgery. However, a big, purple scrotum may indicate a hematoma. A compressive dressing, tight-fitting undergarments, and/or ice packs can all help avoid hematomas.

Ilioinguinal nerve injury can occur when the nerve is injured during spermatic cord dissection. This is more common in males who have had previous inguinal surgery (typically for an undescended testicle or hernia repair) and can arise during dissection or become mistakenly stuck in the closure of the external oblique fascia. The deficit is frequently reduced sensation in the medial thigh, scrotum, or base of the penis. It is usually temporary, but it can take weeks or months to improve.

Inguinal hernias can develop if the external oblique fascia is not correctly closed or if the closure fails. To avoid developing a hernia, limit intense activities for 2-4 weeks.