Scrotal access
In case of benign diseases, the testicle is removed through a 4–5 cm incision on the scrotum: the spermatic cord is ligated at the external inguinal ring, the testicle and epididymis are removed, and in case of a purulent process, the wound is drained. At the same time, a silicone prosthesis can be installed (in the absence of infection). The sutures are absorbable, the swelling subsides in 1–2 weeks.
Indications
- testicular tumor - orchofuniculectomy using inguinal access (the first and mandatory stage of treatment);
- testicular necrosis after torsion or injury;
- purulent orchiepididymitis with abscess formation, testicular tuberculosis;
- atrophied testicle, causing pain;
- hormonal therapy for prostate cancer (bilateral orchiectomy);
- cryptorchidism in adults when reduction is impossible.
Consequences and prosthetics
One healthy testicle completely ensures hormonal and reproductive function. For bilateral orchiectomy, testosterone replacement therapy is prescribed (except in cases of prostate cancer). The cosmetic defect is eliminated with a silicone prosthesis, which can be installed immediately or later. Cryopreservation of sperm is recommended before tumor surgery.
