Life After Orchiectomy

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Affiliation
1 Department of Medical Oncology, St Chiara Hospital, Trento, Italy.
Affiliation
1 Department of Medical Oncology, St Chiara Hospital, Trento, Italy.
Objective: To explore the changes perceived by patients in their sexual lives after orchidectomy and radiation therapy of the pelvic and para-aortic nodes for early-stage testicular seminoma (ST).
Patients and methods: A questionnaire mainly based on two self-completed instruments, previously used to assess the sexual life of patients affected by testicular cancer (the UCLA/RAND sexual module and the Groningen sexual questionnaire) was mailed to a consecutive series of 143 patients treated for ST between 1961 and 1995, and who showed no signs of disease after primary treatment.
Results: Ninety-eight questionnaires (69%) were returned and were evaluable. The median age of the patients was 48 years (range 26-85) at the time they completed the questionnaire, with the median follow-up of 123 months (range 15-496). Most of the patients (86%) had been sexually active during the month before completing the questionnaire. Of these patients, 25% reported a low libido and 14% defined their sexual capacity as poor; 14% of the patients avoided sexual contact after treatment because of the disease and/or cancer therapies. After therapy, a minority of the patients found it more difficult to achieve and maintain an erection. Similarly, a few patients reached orgasm less intensely and less frequently. During the period after treatment, 24% reported a low semen volume, 14% premature ejaculation, 2% late ejaculation and 2% an absence of ejaculation. Most of the patients considered the information and counselling given by their physician about the sexual sequelae of therapy to be insufficient. However, the amount of information about the disease and treatment was considered to be good by, respectively, 64% and 61% of the patients. The only variable predictive of sexual adjustment was age at the time of the administration of the questionnaire.
Conclusion: The sexual adjustment of patients treated with orchidectomy and radiation therapy for early-stage ST is generally good, but a few have negative experiences. Although the main predictive factor is age, communication is an important issue and better information tools could lead to better adjustment.
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Life after orchiectomy. If only one testicle is removed, there shouldn’t be any lasting side effects. If both testicles are removed (a bilateral orchiectomy), you’ll be infertile. However, removing both testicles at the same time is very rarely required, and only one in every 50 cases require the other testicle to be removed at a later date.
How long has it been since my orchiectomy?
How long has it been since my orchiectomy?
Post Orchiectomy, now at 12 months. Well it's been 4 weeks since the Orchiectomy and thought I'd post an update. Bit of an explanation of the types of surgery first. Orchiectomy is a surgical method of castration in which one or both testicles are removed. The removal of both testicles specifically can be referred to as a bilateral orchiectomy.
www.healingwell.com/community/default.as…
What happens to your sex organs after an orchiectomy?
What happens to your sex organs after an orchiectomy?
I felt no differently immediately after my orchiectomy, except that my testicles were gone. For the next month, even though my dysphoria about my sex organs increased, I felt like I needed to masturbate more and more. It almost became an obsession. The urge to masturbate peaked at about four weeks after my surgery.
www.quora.com/What-happens-after-an-or…
What should you do at home after an orchiectomy?
What should you do at home after an orchiectomy?
Apparently voiding is a good sign, especially twice! At home recovery is basically the same as for a Hernia repair or and RP, no heavy lifting, take things easy etc. Sutures installed are dissolvable so no need to have them removed. Pain is minimal but a fair amount of discomfort as you might well imagine.
www.healingwell.com/community/default.as…
Can a man survive testicular cancer and orchiectomy?
Can a man survive testicular cancer and orchiectomy?
I spoke to four men who have all survived testicular cancer and an orchiectomy, along with a mother whose son chose to wait—hoping that the lump he'd found on his testicle was benign. Ultimately, he succumbed to the cancer. VICE: Can you tell me about how your life changed after you first became ill?
www.vice.com/en/article/j55wxd/what-its-li…
www.gendermedical.com/.../343-post-op-life-after-reassignment-or-orchiectomy
Перевести · Life after surgery The first change involves the external genitalia, shifting from penis to vagina which people focus upon almost exclusively, …
https://pubmed.ncbi.nlm.nih.gov/10210572
Перевести · Similarly, a few patients reached orgasm less intensely and less frequently. During the period after treatment, 24% reported a low semen volume, 14% premature ejaculation, 2% late ejaculation and 2% an absence of ejaculation.
Effects of Orchiectomy / Castration
One Month Post-Orchiectomy ... (MTF Transgender)
My Orchiectomy ... (MTF Transgender)
First Years of My Male to Female Transgender Life
Testicle Removal Orchiectomy Jennifer LeVine, PA-C Medical Description
www.tc-cancer.com/.../295853-how-is-life-after-an-orchiectomy
Перевести · 19.02.2017 · For the people who got an orchiectomy--specifically a bilateral orchiectomy--how exactly has your life changed? Overall--taking testicular cancer completely out of the equation (because that would make it a very easy choice; after all, almost no one actually wants to die)--was your life better before or after your orchiectomy…
https://www.quora.com/What-happens-after-an-orchiectomy-MTF
Перевести · I felt no differently immediately after my orchiectomy, except that my testicles were gone. For the next month, even though my dysphoria …
As soon as I was awake from my bilateral orchiectomy, I went home. I had very little pain since my surgeon had given me a nerve block that he said...
I think there's a little difference for everyone. My surgeon warned me that I'd have some pain “further up” than I might expect since once he tried...
That’s a great question. I hope you don’t mind if a ramble a bit first about having an orchiectomy. I am a post-op transgender woman and I remember...
I can speak of my chemical castration experience. I used drug called Androcur, which is antiandrogen and Tamoxifen which is antiestrogen, but in bo...
It can be beneficial depending on the course of her transition and the cost. The main reasons why it would be beneficial are: the testicles are whe...
Inability to father children, obviously — although sperm can be frozen beforehand and used as necessary. Without hormones, a variety of changes inc...
Yes. An orchiectomy is a relatively simple surgical procedure performed by a urologist. You should tell him what your goals are. An orchiectomy usu...
Yes, I have had a bilateral orchiectomy. Yes, I would do it again. I had my orchiectomy for a couple of reasons that corresponded in time. I had a...
Yes, skin and andrenal glands keep producing testosterone. The pituitary can in some cases go in overdrive after orchiectomy and tell the andrenals...
You should talk with your doctor. You have to be sure that you want this to be permanent. You can stop or change your hormones, but an orchiectomy...
https://www.reddit.com/r/testicularcancer/comments/lwlzy7/life_after_orchiectomy
Перевести · Life After Orchiectomy Hi guys, so I’m scheduled for an orchiectomy soon and I’m kinda nervous and anxious about it. I found out after …
I find that my pants fit better. Also summer is less...sweaty. I was really anxious about everything and two years later, I … read more
Thank you all for the support and words of encouragement!
https://www.healingwell.com/community/default.aspx?f=35&m=3302423
Перевести · 19.01.2015 · A simple orchiectomy is commonly performed as palliative treatment for advanced cases of prostate cancer. The patient lies flat on …
https://bjui-journals.onlinelibrary.wiley.com/doi/full/10.1046/j.1464-410x.1999.00939.x
Перевести · 25.12.2001 · Objective To explore the changes perceived by patients in their sexual lives after orchidectomy …
https://www.vice.com/en/article/j55wxd/what-its-like-to-have-your-testicles-removed-as...
Перевести · 08.09.2017 · After my orchiectomy and CT scans were completed, my cancer was found to have spread, so I went through three …
https://www.transgenderpulse.com/forums/index.php?/topic/78720-orchiectomy-and-ejaculation
Перевести · 25.11.2019 · After an orchiectomy, is their still any ejaculation, or is it dry during an orgasm? Obviously there's no sperm, but I don't know if that clear liquid that you start getting when on HRT still comes out or not. Of you do still ejaculate anything after an orchiectomy…
I've been told there's still a ejaculation response after a full vaginoplasty (I'll let you know in a couple months if you remind me). It's differe...
The bad news is that after full GCS which included getting rid of my family jewels, there is still urethral discharge of fluid produced by your pro...
Ah, I had no idea that the ejaculate fluid (what even is that clear stuff?) Comes from the prostate. No biggie if that doesn't stop, I just think i...
I had my Orchie done back in June of this year, and when I "ejaculate now, it is just the clear fluid that was mentioned above. Not much at all rea...
For anyone thinking this might be an option (some people do), think again. This is a long and serious procedure and the recovery is tough. Plus the...
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Life After Orchiectomy