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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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Lithuania is an Eastern European country and is the largest and most populous of the three Baltic States. The country has a population of 3 million people, capital and largest city is Vilnius. There are only 3 Hospitals in Lithuania that are JCI accredited and all 3 can be found at the capital.
Lithuania welcomes an ever-increasing number of medical tourists each year, many of which travel for Simple Orchiectomy procedures. The biggest attraction of Lithuania has to be the cost. Once you are there it is very affordable to eat, drink and get around and the prices from private clinics for medical treatment are extremely competitive. Come from within Europe on a low-cost airline and you will probably pay for your treatment and your holiday for less than your procedure would have cost at home.
Although Lithuania is one of the lesser known countries of Europe, the country is actually a beautiful destination. Lithuania is home to incredible castles, lakes, forests, and landscapes.
Lithuania is at its best in summer when the days are warm and the Baltic Sea is swimmable. The country is swarming with tourists during this season. Summer starts from June until August; the average temperature is around 20 °C during the day and 14 °C during the night.
Spring arrives late, usually starts in April and finishes in May. Spring makes the country look even more beautiful with blossoming flowers and cherry trees. The temperature is usually cool.
Autumn has many sunny days and adds more color to the country. Autumn starts in September and lasts for two months. The nights in autumn are chilly, and the temperature usually drops to 0.1 °C in late November.
Winter is especially cold with an average temperature of around -6.6 to -2.8 °C. Some winters can be even colder with the average temperature dropping as low as -20 °C.
Vilnius International Airport is the largest airport in Lithuania. It connects the country with European cities. The airport is the hub for air Baltic and Get Jet Airlines. Budget airlines such as Ryanair and Wizz Air also operate flights from this airport. Other international airports are Kaunas International Airport, Palanga International Airport, and Šiauliai International Airport. The airports in Lithuania do not serve domestic flights.
Vilnius airport taxis are available and can be found in front of the arrivals terminal. The taxis are comfortable and affordable. All taxis accept payment by cash or credit card, a journey to the city center should cost around 10 EUR to 18 EUR. The city bus is a more cost-effective option to travel to Vilnius. A single ticket costs 1 EUR and can be purchased on the bus.
Getting around in Lithuania by car is the best way if you wish to visit many destinations. Lithuanian roads are among the best in Eastern Europe. The country has four-lane highways connecting Vilnius, Kaunas, Klaipeda, Panevėžys, and Palanga.
Intercity buses dominate the system of Lithuanian public transportation. Buses link all major cities and smaller towns. Buses between big cities are very frequent and usually leave every 15 minutes. Bus tickets can be purchased in the bus station or directly from the bus driver. Trains in Lithuania are good value but rather slow. Riding a bicycle is a nice way to get around inside the cities. Most roads are kept in good condition. Bike hire is available across all major cities and several small villages.
Citizens of the European Union, the United States, Canada, Australia, and Britain are granted visa-free entry to Lithuania and may stay for up to 90 days. Other foreign nationals must apply and obtain a visa before entering Lithuania. It is advisable to contact the local embassy to check visa requirements for Lithuania.
Lithuania is part of the Schengen Area, those who already have a Schengen visa do not have to apply for a new visa to enter Lithuania. A passport valid for at least three months beyond the length of stay is required by all visitors.