In some instances orchiectomy (removal of the testicles) may be of benefit to a patient planning SRS in the future. The benefit may be psychological and may also simplify the management of hormones and therefore reduce the health risks associated with taking hormones for extended periods.

This procedure is done on an outpatient basis under general anesthesia. A midline incision is made into the scrotum and the testes and cords exposed. The cords are divided below the inguinal ring and both testes and spermatic cords are removed.

There are no sutures to be removed and recovery is usually quite uncomplicated. There may be some swelling and discoloration in the scrotum and some pain in the inguinal area due to swelling of the remaining cord in this area. These symptoms should subside rapidly.

There is some shrinkage of the scrotal skin following this procedure and that is a consideration for penile inversion technique vaginoplasty. Some of the tissues inside the scrotum can be left behind
to limit this shrinkage somewhat.

A sterilization consent must be signed in addition to the customary surgical consents.

The effects on future Vaginoplasty/Labiaplasty

It is not a problem if the orchiectomy is carried out properly. 

An orchiectomy is also a useful alternative to Vaginoplasty in an effort to halt the effects of the long term health considerations of taking hormones.  In essence one has two choices, schedule a vaginoplasty or get an Orchiectomy.



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