Orchiectomy and scrotoplasty for gender reassignment surgery

An orchiectomy is a procedure used in transwoman, involve removing the testicles, which are responsible for sperm and testosterone production. Scrotoplasty, on the other hand, is a procedure used in transman by creating a scrotum-like organ that closely represents that found in male genitalia.

What is an orchiectomy?
The aim of an orchiectomy procedure is to remove the testicles, so that sperm is no longer produced and to reduce testosterone production, which can remove the need for testosterone suppression therapy, and decreasing the amount of estrogen medication required thereafter. Some patients have this surgery to enable what is known as ‘genital tucking’. This procedure could be performed at the same setting with vaginoplasty. Additionally, orchiectomy procedures have been found to help in preventing testicular cancer, prostate cancer, and male breast cancer.
  • Erectile dysfunction
  • Reduced sexual desire
  • Sterility. (Sperm collection before procedure is possible and is recommended)
  • Patients undergoing an orchiectomy without vaginoplasty will experience a tightening of the skin in that region, which could make any subsequent plans for gender affirmation surgery much more difficult as other areas of skin may instead be required for transplantation, such as the colon or abdomen. Hence, those wishing to undergo gender affirmation surgery in the future are not advised to have an orchiectomy. Instead, they are recommended to use medication to suppress testosterone production under the supervision of an endocrinologist.
Scrotoplasty is a procedure that uses skin from the labia combined with a silicone implant to create a new scrotum. It is often performed in conjunction with penis construction surgery for transman, whether through a metoidioplasty or phalloplasty procedure. The most common problem associated with scrotoplasty is the final position of the new scrotum, which often ends up too far back and can appear undesirable. Surgeons might need to transpose labia skin to the front before silicone implant. Also, patients without sufficient skin in the region may require a special device to expand the tissue before surgery is performed.
  • Nerve damage
  • Graft failure
  • Permanent scarring
  • Urinary tract injuries
  • Pain during sex or problems affecting sexual intercourse
Patients should first consult their doctor regarding the potential benefits and drawbacks of an orchiectomy or scrotoplasty. If a decision is then made to go ahead, patients must strictly adhere to all advice for pre- and post-surgery care to reduce the likelihood of complications. Furthermore, only expert surgeons specializing in this form of surgery should be selected to perform the procedure as they will be best placed to help patients achieve the results they desire.
Pride Clinic at Bumrungrad Hospital offers orchiectomy and scrotoplasty procedures performed by experienced surgeons with high levels of expertise. They are aided by a team of multidisciplinary specialists, who have undergone intensive training to ensure they have the knowledge and expertise necessary to respond to the varied, diverse requirements of their patients.

To find out more details, please contact:
Pride Clinice 
Tel:  063-221-0957 or 02-066-8888 ext. 1378

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