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Orchiectomy, also known as an orchidectomy, or simply orchi, is a surgical procedure in which one or both testicles are removed. When just one testicle is removed, it is called unilateral simple orchiectomy. When both testicles are removed, the procedure is called bilateral orchiectomy. The surgery is typically performed as a treatment for testicular cancer. Some other cases where simple orchiectomy is performed are:
As the name implies, simple orchiectomy is a simple procedure, taking about just 30 minutes to be performed.
Every procedure requires the patient to stay in a certain position. For a simple orchiectomy, the patient is made to lie in a flat or in medical terms, a supine position on an operating table. The patient is prepped and draped in the usual standard sterile manner. The penis is taped against the abdomen so that the scrotum is exposed. The nurse will shave a small area to prepare the region for an incision.
It is a simple procedure that takes only 30 minutes to be performed. It is done under local or regional anesthesia or epidural anesthesia. An example of a commonly used local anesthetic (LA) is the lidocaine. Epidural anesthesia is given by injecting a needle into a small area of the back so that anesthetic can be injected into the epidural space.
After the anesthetic has been administered, the surgeon makes an incision in the midpoint of the scrotum and cuts through the underlying tissue, going through the skin, subcutaneous tissue, dartos layer, and the tunica vaginalis.
The surgeon removes the testicles, along with all the gubernacular attachments, and parts of the spermatic cord through the incision. All the bleeders are coagulated. The incision is closed with two layers of sutures and covered with a surgical dressing.
If the patient desires, a prosthetic testicle can be inserted before the incision is closed to present an aesthetic outward appearance of a pre-surgical scrotum.
Simple orchiectomy can be performed as an outpatient procedure. The typical length of time for this procedure is usually about 30 minutes. Nonetheless, you always have the option to stay a little longer at the hospital for your recovery if you choose.
It is also important that you have regular check-ups with your surgeon while you’re still in recovery. In most cases, the doctor will use stitches that dissolve on their own in about 1 to 3 weeks and do not need to be removed.
The usual recovery time can take about a month. The first two weeks can be especially painful and patients are advised to not engage in vigorous exercise or effort. The Doctor will prescribe pain medications (NSAIDS) to ease your discomfort. It is very advisable that you take 2 weeks off work after the operation to fully help the recovery.
Simple orchiectomy has a high success rate where most patients leave the operating room happy with the procedure.
Following bilateral simple orchiectomy, there can be depletion in androgen levels, a relative increase in estrogen levels, metabolic changes, and other numerous consequences, including:
Alternatives to a simple orchiectomy are observation and certain drugs, like LHRH analogs, anti-androgens, steroid anti-androgens, estrogens. Other more advanced hormonal therapy regimens and experimental chemotherapy have been reserved for later stages of cancers.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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Positioned in the core of Central Europe and completely surrounded by land, this historically enriched nation is among the world's top 15 tourist favorites. It's a hotspot teeming with UNESCO World Heritage sites, a testament to its rich past.
The country boasts eye-catching architectural marvels and relaxing thermal baths and spas, the most talked-about amongst these being the Szechenyi baths nestled in the nation's capital, Budapest. This combination of cultural heritage and relaxation opportunities lends the country a unique charm that continually lures in visitors from around the globe.
While Hungary possesses only one facility accredited by the Joint Commission International, it leans on the trusted expertise of its local accreditation board. This board, licensed by pillars of authority such as the Hungarian Ministry of Health and the State National Health Commission and Medical Service, ensures the maintenance of high healthcare standards.
Each year sees a burgeoning number of medical tourists making the journey to Hungary. Many among them travel specifically for Simple Orchiectomy procedures. Dental and cosmetic treatments, in particular, draw significant attention due to Hungary’s competitive pricing, often regarded as the most economical across Europe.
With less than 10 million inhabitants sprinkled across an approximate area of 93,030 square kilometers, Hungary may appear relatively modest in size. However, within its boundaries, it hosts an impressive number of UNESCO World Heritage Sites. Alongside these acclaimed landmarks, it also boasts a multitude of exquisite attractions, making it a country that belies its physical size with its magnificently rich offerings.
Hungary is characterized by the presence of four clearly demarcated seasons.
Hungary has five large airports, but international flights usually land at Ferenc Liszt International Airport. The airport is still commonly called “Ferihegy.” It offers international connections mainly to Europe, Africa, the Middle East, and North America. Several budget airlines such as Wizz Air, EasyJet, and Ryanair operate many flights from this airport. Flights to/from Schengen countries use Terminal 2A (also known as the Schengen terminal), while flights from non-Schengen countries use Terminal 2B. Another year-round international airport is Debrecen International Airport. The airport serves Wizz Air and Lufthansa along with several seasonal airlines. There aren’t many domestic flights in Hungary because traveling to one city to another usually only takes three hours by train or bus.
Visitors can get into the city from the airports by bus or taxi. If you wish to travel by taxi, make sure to use regulated taxis such as Főtaxi, the company has trained and experienced drivers to ensure passengers’ safety. The fare is 300 HUF/Km (1.03 USD). A ride to Budapest from Ferenc Liszt International Airport should cost around 7200 HUF (24.8 USD).
Buses are another easy option to get to the city center. Bus tickets are relatively cheap, single tickets are 350 HUF (1.30 USD) and can be purchased at the airport post office, BKK customer points in arrivals halls, the newsagents, and from the ticket machine at the bus stops. Drivers also sell tickets for 450 HUF (1.60 USD). It is recommended to buy daily or multi-day travel-cards and passes which are valid for an unlimited number of trips within their validity periods. The multi-day pass costs 1650 HUF (6.15 USD)
Hungary has a highly developed transport system. To travel to another city, tourists can use Intercity (IC), the fastest trains that link major cities with Budapest. Buses are a more economical way to travel inter-city. Buses are efficient. Tickets can be purchased from the bus driver. Taxis are good, but make sure to always inspect the change that taxi drivers give you. Drivers commonly give tourists outdated Romanian currency that looks similar to Hungarian currency but has no value. Hiring a car is another good option if you want to travel to many destinations, most roads are two lanes and the main roads are in good shape.
European Union, American, and Canadian passport holders can stay in Hungary without a visa for up to 90 days, as long as the passport is valid for at least three months. Citizens of EU/EEA member and 33 countries are granted visa-free entry for a maximum period of 90 days.
Hungary is also a part of the Schengen Agreement. The Schengen Visa allows the holder to travel to any member countries using one single visa. The Schengen Visa is only issued to citizens of countries who are required to obtain a visa before entering Europe. For more information:
With its stunning landscapes, laden with history and soaked in culture, Hungary truly is a gem to behold. Brimming with a myriad of delights to cater to diverse preferences, it offers everything from captivating landscapes and historical marvels to lively metropolises teeming with life, and a wealth of culinary delights. Indeed, Hungary ensures every visitor takes away an indelible wealth of wonderful memories.