What is an orchiectomy?
An orchiectomy involves the removal of bilateral testicles under general anesthesia for Transgender women. This surgery is a permanent method of eliminating testosterone production. This quickly provides relief from having testosterone dominate a transwoman’s system, and allows her prescribed Estrogen to have full effect on her body. The lack of Testosterone also eliminates the need for Androgen blockers, like Spironolactone, which can have negative side effects if used for extended periods.
What does the surgery involve?
The orchiectomy is performed through small incisions in the groin crease, overlying the spermatic cord on each side. Incisions are carefully placed in a manner that will not disrupt future genital reconstruction surgery (GRS) if desired. This means that Transwomen pursuing testosterone reduction before they are ready to schedule full GRS vaginoplasty can safely have this surgery without any bridges being burned for future use of their scrotal skin for vaginal creation.
View the photo gallery to see results from other patients. More photos are available during in-office visits.
What is the typical recovery period after an orchiectomy?
Dr. Keelee MacPhee performs this surgery under general anesthesia on an outpatient basis, so that patients go home the same day. Pelvic compression and icing are imperative to ease the swelling and discomfort from this surgery. Patients are typically able to return to light duty in 1-2 weeks, and then full exercise and lifting in 4-6 weeks.
How do I decide if an orchiectomy is right for me?
Dr. MacPhee is a highly skilled plastic surgeon who is ready talk with you about your aesthetic and reconstructive surgery goals. During your initial consultation, she will take the time to listen and answer all of your questions, ensuring that you are completely informed and comfortable with all of your treatment options. Contact us today at 919.341.0915 to schedule an appointment.