Orkiektomi (also called orkektomi , and sometimes abbreviated with orchi ) is a surgical procedure in which one or both testes are removed. Removal of both testicles (bilateral orchiectomy) is a form of castration surgery.
There are three main types of orchiectomy: simple , subcapsular , and inguinal . The first two types are usually performed under local or epidural anesthesia, and require about 30 minutes to perform. An inguinal orchiectomy is sometimes performed under general anesthesia, and takes 30 minutes to an hour to complete.
Video Orchiectomy
Orchiektomi sederhana
A simple orchiectomy is generally performed as part of genital switching (SRS) surgery for transgender women, or as palliative care for advanced-stage prostate cancer cases. Orkiektomi may be necessary in terms of testicular torque as well. The patient is lying flat on the operating table with a penis stuck in the abdomen. The nurse will shave a small area for the incision. After anesthesia is given, the surgeon makes an incision at the midpoint of the scrotum and cuts the tissue underneath. The surgeon lifts the testicles and parts of the spermatic rope through an incision. The incision is covered with two layers of suture and covered with surgical bandages. If the patient wishes, a prosthetic testicle may be inserted before the incision is closed to present the outer appearance of the pre-surgical scrotum.
Maps Orchiectomy
Subcapsular Orchoectomy
A subcapsular orchiectomy is also commonly used for the treatment of prostate cancer. This operation is similar to a simple orchiectomy, with the exception that the glandular tissue surrounding each testicle is removed rather than the entire gland itself. This type of orchiectomy is performed primarily to keep the appearance of a regular scrotum.
Inguinal orchiectomy
Inguinal orchiectomy (named from Latin inguen for "groin," and also called radical orchiektomi ), is performed when the onset of testicular cancer is suspected, the possible spread of cancer from the spermatic rope to the lymph nodes near the kidneys.
An inguinal orchiectomy can be either unilateral or bilateral. The surgeon makes an incision in the groin area of ​​the patient (in contrast to the incision in the scrotum, as is done in either simple or subcapular orcharectomy). All the spermatic cords are removed, as do the testicles. An unabsorbed long suture may be left on the stump of a spermatic rope if surgery is necessary later on.
After the umbilical cord and testes are removed, the surgeon washes the area with saline solution and covers various layers of tissue and skin with various types of stitches. The wound is then covered with sterile gauze and bandaged.
See also
- List of operations by type
- Drilling
- Vasectomy
- Genital (male-to-female) surgery
- Genital replacement therapy
- List of transgender related topics
- Index of oncology articles
References
Source of the article : Wikipedia
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