Orchidectomy

Orchidectomy is the simplest gender-affirming genital surgery for trans women and may be the first step in a more complete reconstruction or it may be the definitive procedure for those wishing to have the testes removed to facilitate hormone management ( ie the option to stop T-blockers) and to reduce the impact of genital dysphoria.

Options include simple orchidectomy or orchidectomy plus scrotal reduction.

Overview

Orchidectomy is performed as a day procedure under general anaesthetic and takes between 60-90 minutes. 

The decision to have scrotal reduction or not is an important one- if there is any possibility that you may wish to proceed to vaginoplasty in the future, it is advised to spare the scrotal skin so it is available for use with future procedures. Scrotal reduction can be done in the future if desired.

Complications and aftercare

Orchidectomy is usually a simple procedure with a very low risk of complications; however, swelling, bruising ( haematoma) and problems with wound healing or infection can occur.

Pain is usually mild and well-controlled with tablets.

The incision will be closed with invisible dissolving sutures, and a waterproof glue will keep the skin protected.

Regular application of cold packs (frozen peas are excellent)  in the first 72 hours is helpful.

A gradual return to activity as pain allows is recommended and most people should be very comfortable after one week.