Orchiectomy (Castration)

Bottom surgery MTF patients sometimes choose an irreversible bilateral orchiectomy prior to or instead of the vaginoplasty procedure.

Because it is significantly less expensive than vaginoplasty, orchiectomy may be a good intermediate step for those with limited funds or financial hardships. It eliminates the need for antiandrogens and allows MTF patients to consume lower doses of feminizing hormones.

It is typically recommended for male to female patients with health problems.However, castration can affect the amount of tissue available for vaginoplasty over time.

Orchiectomy Defined

The ORCHIECTOMY procedure can be an intermediary or final step of the transition for MTF patients. This particular surgery removes the testicles resulting in the absence of testosterone production and ability to reproduce.

The technical term for orchiectomy is also called orchidectomy or gonadectomy and is commonly known as castration.

This procedure is most often performed by urologists or endocrinologists and is generally utilized for treatment of prostate cancer and testicular cancer in non-GRS patients.

Procedure for Orchiectomy

The removal of both testicles during the orchiectomy procedure is executed through an incision in the scrotum. Each testicle is drawn from the scrotum with the spermatic cord clamped and double sutured to control bleeding. The cord is cut, releasing the testicle. The end of the cord is placed back inside of the body.

Transitioning MTF’s undergo orchiectomy because it pointedly diminishes testosterone fabrication. The reduction of testosterone may allow a person with a male body to transition to a woman with ease.

Recovery Stages

Recovery from orchidectomy surgery in Mexico may include estrogen replacement therapy after surgery in order to prevent osteoporosis. You will feel numbness around the incision, but this should eventually fade. MTF patients In Mexico should drinking extra fluids and avoiding sexual activity, heavy lifting, and vigorous exercise until the follow-up appointment.

Orchiectomy patients should shower rather than soak in a tub for a week following surgery to minimize the risk of absorbable stitches dissolving prematurely. Applying an ice pack to the groin area for the first 24–48 hours is highly recommended.

Risks and Side Effects

Risks for an orchiectomy done under general anesthesia include deep venous thrombosis, heart or breathing problems, bleeding, infection, or reaction to the anesthesia.

Additional risks associated with an orchiectomy include:

  • Loss of sexual desire
  • Hot Flashes
  • Possible weight gain of 10–15 lb.
  • Fatigue
  • Osteoporosis

Benefits of Orchiectomy in Mexico

A bilateral orchiectomy is commonly performed for male-to-female (MTF) gender reassignment surgery.

When performed by a highly-skilled surgeon in Mexico it is completed both to lower the levels of male hormones in the patient’s body and to prepare the genital area for later operations to construct a vagina and external female genitalia with world class results.


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