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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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Italy, a country in south-central Europe, boasts some of the most varied and picturesque landscapes in the world with the greatest collection of art treasures. The mere mention of Italy conjures up images of ancient Roman ruins, leaning tower of Pisa, stunning isles, rolling vineyards, and authentic cuisines. Besides its charming landscape, delicious food, and historical monuments, Italy is a popular spot for foreign patients to receive medical treatments. Its reputation for cutting-edge, high-quality treatment is growing rapidly. Although it is not the cheapest medical tourism destination, it is known for its highly qualified doctors and surgeons, as well as medical facilities that are equipped with the latest medical technology. Cosmetic surgery, hair transplant treatment, cosmetic dentistry, and cancer treatment are among the most popular treatments in the country.
Rome, the capital of Italy, is the birthplace of Julius Caesar and is filled with Roman ruins, such as the Colosseum, Pantheon, and Forum. It is also home to Vatican City, the beautiful Sistine Chapel, the romantic Trevi Fountain, and picturesque restaurants filled with great food. Venice, another popular city in the country, is famous for its canals, gondola rides, and St. Mark's Basilica. On the west coast of Italy, visitors can find the Cinque Terre, which consists of five dramatically located hamlets. It is dotted with steep vineyards, mountains, and beautiful beaches. The fashion capital of Italy is Milan, the ancient towns of Pompeii, Naples, and stunning Florence with its Renaissance art are also popular tourist destinations.
Italy has a variable climate, so different areas can experience different weather. In general, the country has four seasons: spring (March to May), summer (June to August), autumn (September to November), and winter (December to February). Summer has marvelous weather, with sunny days and warm nights. Autumn brings cooler temperatures to the country, while the winter can be chilly or freezing, depending on the area. In spring, the temperatures start to get warmer.
Leonardo da Vinci-Fiumicino Airport is the main gateway airport in Italy. It connects the country with numerous domestic and international destinations, including London, Beijing, Paris, New York, and Moscow. Many international visitors fly to the Milan Malpensa International Airport as well. Transport in Italy is reasonably priced and efficient. An extensive network of domestic flights is available, making it the quickest and most convenient way to travel around. Trains cover many areas across the country and have frequent departures. There are also high-speed trains connecting major cities. Although buses are slower than trains, they are cheaper and covers areas not served by trains. All major cities have good transport systems, with the bus, metro, and tram networks. In Venice, the vaporetti (small passenger ferries) are the main public transport option. Taxis are widely available and are moderately priced.
Since Italy is part of the Schengen area, nationals of EU countries do not need a visa to visit regardless of their purpose and/or length of stay. Citizens of Canada, Australia, the US, Hong Kong, South Korea, the UAE, and several other countries do not need a visa to stay in the country for up to 90 days within a six-month period. Other nationals not listed in the visa exemption countries will need to apply for a visa before visiting.