Overview
Orchiectomy is a surgical procedure to remove the testicles. As part of a gender transition process, this procedure may be performed to reduce testosterone production.
It may be considered by some transgender people in various contexts:
- as part of a hormonal transition
- when hormone therapy is not desired or is poorly tolerated
- as a preliminary step to other genital surgeries
- as part of a personal transition
This procedure is generally performed as part of comprehensive medical care.
Procedures that can be performed
An orchiectomy involves removing the testicles through an incision made in the scrotum. The procedure allows for:
- to suppress testosterone production in the testes
- to help balance hormones
- to reduce certain hormone treatments in some cases
The surgical technique is tailored to preserve the anatomy and minimize visible scarring.
In some cases, orchiectomy can be performed without the need for complete genital surgery.
Treatment Process
The process for an orchiectomy begins with a consultation with a specialist to assess your medical condition and discuss the surgical plan.
During this consultation, a clinical examination will be performed and your medical history will be reviewed to confirm that the procedure is appropriate and to discuss the expected outcomes. This step also provides an opportunity to discuss your expectations and answer any questions you may have about the procedure and its potential effects.
You will receive detailed medical information and a personalized quote, in accordance with the legal cooling-off period.
Depending on the situation and the transition process, certain medical documents may be required as part of the care plan.
Medical photographs may be taken to facilitate post-operative follow-up.
Before the procedure, a preoperative evaluation is ordered and a consultation with the anesthesiologist is scheduled.
An orchiectomy is performed in an outpatient setting under general anesthesia or, in some cases, under local anesthesia with sedation, depending on the situation. The procedure involves removing the testicles through an incision in the scrotum.
The procedure typically lasts between 30 and 60 minutes. It is usually performed on an outpatient basis, allowing patients to return home the same day, or as an inpatient procedure.
Postoperative Care and Expected Results
Postoperative care is generally straightforward. In the first few days following the procedure, it is common to experience:
- local swelling
- minor bruises
- sensitivity of the scrotum
- temporary fatiguetemporary fatigue
A gradual return to normal activities is recommended to promote proper healing.
In practice:
- light daily activities: after a few days
- sedentary work: usually after about a week
- sports activities: usually after 3 to 4 weeks
Postoperative follow-up is scheduled to monitor the healing process and track the patient’s progress.
Orchiectomy results in a permanent cessation of testosterone production in the testes.
Expected benefits may include:
- a decrease in male hormone production
- a simplification of certain hormone treatments
- an important step in the transition process
- greater alignment between one's body and gender identity
Cette intervention est définitive, ce qui est discuté en détail lors de la consultation préopératoire.
FAQ
Frequently Asked Questions About Orchiectomy
The scar is inconspicuous and located on the scrotum.
Oui, l’orchidectomie est une intervention irréversible.
As part of a recognized transition program, coverage may be available based on current medical and administrative criteria for French patients only.
Recovery is usually quick, with a gradual return to normal activities in the weeks following the procedure.
No. Everyone’s journey is unique, and not all transgender people necessarily want this procedure.
>> This page is intended to provide general information. Only a consultation with Dr. Vairinho will allow for an accurate assessment of your situation and the recommendation of an appropriate treatment plan. A personalized quote is provided only during a consultation.
