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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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Poland, as one of Central Europe's most expansive nations, has only recently begun to make its mark as a key player in the realm of Medical Tourism. Being particularly appealing to tourists from neighboring regions, many visitors arrive seeking Simple Orchiectomy procedures. Poland's open border policy further simplifies travel between its territory and other countries within the European Union (EU), making it an accessible destination for many.
The Polish healthcare system comprises a blend of public and private establishments. While none of these facilities hold JCI accreditation, they are endorsed by local accreditations issued by the Polish Ministry of Health. Their recognition within the European Union testifies to the quality and reliability of these certifying bodies.
In Poland, the most frequently sought-after medical procedures encompass dental, cosmetic, orthopedic, and bariatric treatments. Impressively, the costs of these treatments are significantly lower than what one would expect to pay in Poland's Western European counterparts. Beyond Poland's vibrant capital, Warsaw, cities such as Krakow, Jelenia Gora, and Wroclaw have emerged as favored destinations among medical tourists.
Poland, with a population exceeding 38.5 million, is a nation steeped in rich history and recognized for its whopping fourteen UNESCO World Heritage Sites. Despite frequently being overshadowed in the realm of tourism, the country in reality, boasts of a multitude of alluring attractions waiting to be explored and appreciated.
Poland has a temperate climate and sometimes experiences rough weather. Spring starts in late March to May. The season is characterized by a wave of warmer weather with less frequent rain. It is one of the best times to visit Poland because the temperature is comfortable.
Poland's summer season extends from June until August and brings with it a certain unpredictability in weather patterns. The general climate is warm, with temperatures hovering between 18 to 30°C. Amidst sunny spells and elevated temperatures, frequent rain showers and storms are also common phenomena. This period marks the peak of the tourism season and tourists can expect prices to see a corresponding increase. Despite the occasional rains, summer promises a delightful time to experience Poland in all its warmth.
September to November is Autumn, the season where the temperature starts to drop. Late September and October are still warm, while November is cold and wet. Sunny days during this season are known as “Polish Golden Autumn.”
Winter in Poland, which runs from December until early March, can be exceedingly cold. Temperatures often tumble to an average range of 0 to -10°C and can even drop as low as -20°C. Despite the chilly conditions, this is actually the peak season for mountain ski resorts, attracting numerous enthusiasts to take advantage of Poland's picturesque winter landscapes.
Most international flights arrive at Warsaw Frederic Chopin Airport. It’s Poland’s largest and busiest airport. The airport serves domestic and has International connections with many cities around the world. It is the hub for LOT Polish Airlines. Budget airlines such as Wizz Air and EasyJet also operate flights from this airport. There is a smaller airport, Warsaw Modlin Airport, which handles more budget airlines.
To get to the city center, bus, taxi, and train are available. There are five public buses that stop at Warsaw’s city center; bus 175, bus 188, bus 148, bus 331, and bus N32 (night bus). Taxis are available, but always make sure to use licensed taxi services. The fare from the airport to the city center is around 40 PLN. Chopin Airport is linked to Legionowo and Sulejówek Miłosna by a railway service. Tourists can buy ZTM tickets to ride the bus and train which can be purchased at the Passenger Information Point in the arrivals hall, ticket machines at bus stops and train station entrance, or from bus drivers.
Ample public transportation options simplify getting around in Poland. Trains, in particular, offer an incredibly budget-friendly means of travel. For instance, the journey from Krakow to Warsaw is set to cost approximately 45 PLN and spans a duration of around three hours. Meanwhile, a slightly longer five-hour train journey from Warsaw to Gdansk can be undertaken at a reasonable fare of around 65 PLN. Such connectivity and affordability make exploration within Poland both easy and economical.
Within the cities, local buses in the central zone cost around 4 PLN (a single-fare ticket). Major cities offer one-day tickets for 20 PLN. Taxis are relatively cheap and tourists can get around the city quickly. Taxis are metered and usually start at around 6 PLN to 8 PLN. Unlicensed taxi drivers are most likely to cheat and charge more. There are taxis that put a fake phone number in their cars, be careful and ask your hotel staff for the number of the taxi company they have used previously. Cycling is a good way to explore the scenery in Poland. There are many bike rentals around the country, always be aware of drivers since some are careless.
For cities like Krakow, tourists are highly recommended to secure tourist cards. These cards provide unlimited access to public transportation for a period of one to three days. In addition, they also offer free or discounted admission to several museums. This is a great bargains that grants tourists flexibility and sizable savings to fully relish their visit.
Poland is part of the Schengen Area. Citizens of the United States, Canada, Australia, New Zealand, Japan, Israel, and several other countries do not need to obtain a visa and can stay in Poland for up to 90 days. EU citizens do not need a visa and can stay indefinitely. Other nationalities must check with their local Polish embassy. All visitors must hold a passport valid for at least six months.
Additional Information about Visa in Poland: