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Sexual Medicine Reviews Jul 2020To date, there is no literature on orchiectomy as a stand-alone procedure in the transgender surgical context. (Review)
Review
BACKGROUND
To date, there is no literature on orchiectomy as a stand-alone procedure in the transgender surgical context.
AIM
To propose a simple guide to aid health-care professionals caring for transgender and gender nonconforming individuals seeking bilateral simple orchiectomy.
METHODS
We use expert opinion to provide a novel guide for simple orchiectomy in the transition-related context for health-care professionals caring for transgender and gender nonconforming individuals. A review of relevant literature was also performed focusing on simple orchiectomy and vaginoplasty surgeries for transgender and gender nonconforming individuals.
MAIN OUTCOME MEASURE
We describe the indications, surgical approach, preoperative and postoperative assessment, and the risks and benefits of bilateral simple orchiectomy in the context of gender surgery.
RESULTS
This article is the first, to our knowledge, to describe a structured guide to bilateral simple orchiectomy in the context of gender surgery for health-care professionals caring for transgender and gender nonconforming individuals.
CLINICAL IMPLICATIONS
Bilateral scrotal orchiectomy is a simple surgical procedure that has a defined role in the surgical management of many transgender individuals.
STRENGTHS AND LIMITATIONS
This article provides an approach to simple orchiectomy in the context of gender surgery for health-care professionals. Only guidelines written in English were included. The quality of the included guidelines was not evaluated, but this was beyond the scope of this review.
CONCLUSION
We present a novel guide for health-care professionals caring for transgender and gender nonconforming individuals seeking bilateral simple orchiectomy in the context of gender surgery. Francis C, Grober E, Potter E, et al. A Simple Guide for Simple Orchiectomy in Transition-Related Surgeries. Sex Med Rev 2020;8:492-496.
Topics: Guidelines as Topic; Humans; Orchiectomy; Risk Assessment; Sex Reassignment Surgery
PubMed: 31959532
DOI: 10.1016/j.sxmr.2019.11.004 -
Reproduction in Domestic Animals =... Jul 2009The necessity, and in particular the timing, of gonadectomy in dogs and cats is still controversial. This is mainly because gonadectomy confers a mixture of benefits and... (Review)
Review
The necessity, and in particular the timing, of gonadectomy in dogs and cats is still controversial. This is mainly because gonadectomy confers a mixture of benefits and adverse effects that depend upon the age at neutering, sex, species and breed. In this paper, the long-term risks and benefits of gonadectomy, at various ages, in dogs and cats are reviewed using data describing the effects of desexing on the urogenital tract and on other medical conditions, such as orthopaedic diseases, immune-mediated diseases, tumour development and behaviour.
Topics: Animals; Cats; Dogs; Female; Male; Orchiectomy; Ovariectomy
PubMed: 19754532
DOI: 10.1111/j.1439-0531.2009.01437.x -
Journal of the American Veterinary... Dec 2007Elective gonadectomy of dogs and cats is one of the most common veterinary procedures in the United States. Increasingly, dog owners and members of the veterinary... (Review)
Review
Elective gonadectomy of dogs and cats is one of the most common veterinary procedures in the United States. Increasingly, dog owners and members of the veterinary profession throughout the world have questioned the optimal age for performance of these procedures and whether these procedure should even be performed as elective surgeries.
Topics: Age Factors; Animals; Behavior, Animal; Cat Diseases; Cats; Dog Diseases; Dogs; Female; Hysterectomy; Life Expectancy; Male; Orchiectomy; Ovariectomy; Population Control; Postoperative Complications; Weight Gain
PubMed: 18052800
DOI: 10.2460/javma.231.11.1665 -
Archivio Italiano Di Urologia,... Sep 2018Self-inflicted orchidectomy and auto-castration, also known as "Eshmun complex" is a rare phenomenon. The aim of our study it to present the management of a patient who... (Review)
Review
INTRODUCTION
Self-inflicted orchidectomy and auto-castration, also known as "Eshmun complex" is a rare phenomenon. The aim of our study it to present the management of a patient who performed a self orchiectomy and propose a non-systematic review of literature about self-orchiectomy.
MATERIAL AND METHOD
A 27-years old male Patient with psychiatric disorder was admitted to our ward to have been cutted his scrotum with scissors and cut away his left testicle causing active bleeding from the left spermatic artery. The patient underwent emergency surgery with clamping of the spermatic cord and hemostasis of the wound.
RESULTS
After surgery the clinical condition of the patient remained good during whole hospitalization. Urgent psychiatric evaluation was performed in order to administer proper therapy for acute management. To best of our knowledge, only 11 cases of self-orchidectomy are reported in literature and all of them except 1 case, underwent surgical exploration.
CONCLUSIONS
Self-orchidectomy is an extremely rare phenomenon, often associated with psychiatric disorders, compounded by the use of drugs. In our opinion, emergency surgery should be the first choice of treatment, offering diagnostic and hemostatic purpose in a single act, aimed to prevent acute and postacute complications.
Topics: Adult; Humans; Male; Mental Disorders; Orchiectomy; Scrotum; Self Mutilation; Testis
PubMed: 30362693
DOI: 10.4081/aiua.2018.3.220 -
Urology Feb 1991
Topics: Humans; Male; Orchiectomy
PubMed: 1992594
DOI: 10.1016/0090-4295(91)80224-u -
BMC Veterinary Research Jul 2023Confinement of cattle imposes spatial restrictions and predisposes to aversive social encounters that can lead to contusions, wounds, pain, stress, fright, and reduced...
BACKGROUND
Confinement of cattle imposes spatial restrictions and predisposes to aversive social encounters that can lead to contusions, wounds, pain, stress, fright, and reduced productivity. Although endogenous testosterone concentrations are linked to agonistic dominance behaviors in males, it is unknown whether decreased blood testosterone concentrations after castration alter social hierarchy rank in Nelore bulls. Therefore, in this study, we investigated the impact of the surgical would inflammation post-orchiectomy on social dynamics in a group of Nelore bulls (Bos indicus). Fourteen Nelore (Bos indicus) bulls were castrated and assessed pre- and post-surgically. Parameters evaluated were agonistic (mounting, headbutting, and fighting) and affiliative (head-play) behavior, plasma testosterone concentrations, average daily weight gain (ADG), and a score for severity of post-surgical infection. Exploratory statistics included social network analysis (SNA), hierarchy rank delta (Δ), and principal component analysis (PCA). Furthermore, statistical inferences included the Wilcoxon test, multiple logistic regression models, and Spearman's correlation.
RESULTS
The social dynamic of Nelore bulls was modified after castration based on the findings of the SNA and the PCA. The moderate correlation between the postoperative inflammation level with the Δ, and the significant effect of this level in the logistic model post-castration were partially attributed to effects of pain on social relations.
CONCLUSIONS
Our findings suggest the severity of post-surgical inflammation, which has an association with pain intensity, was closely associated with changes in the social hierarchy.
Topics: Animals; Cattle; Male; Orchiectomy; Group Dynamics; Pain; Inflammation; Testosterone; Cattle Diseases
PubMed: 37454070
DOI: 10.1186/s12917-023-03638-9 -
A novel orchiectomy surgical procedure in donkeys ( Equus asinus africanus) with parascrotal access.Polish Journal of Veterinary Sciences Jun 2022Donkeys are a public health concern in the Northeast region of Brazil, with thousands of stray animals. Orchiectomy is an important population control measure; however,...
Donkeys are a public health concern in the Northeast region of Brazil, with thousands of stray animals. Orchiectomy is an important population control measure; however, the long postoperative period with daily treatment of open wounds in the scrotum makes it difficult to perform a large number of castrations in sheltering centers. We evaluate a novel surgical procedure for orchiectomy in donkeys using parascrotal access. Twelve donkeys were used, divided into two groups: I - submitted to orchiectomy through parascrotal surgical access (novel procedure), and II - submitted to orchiectomy through scrotal access (conventional). Postoperative evaluations consisted of a macroscopic evaluation of the surgical wound (bleeding and intensity of edema), hematological parameters, and peritoneal fluid, which occurred in both groups at the moments (M): M0 - before the surgical procedure. The others moments occurred after surgery: M12 (twelve hours); M24 (twenty-four hours); M48 (forty-eight hours); M72 (seventy-two hours); M8D (eight days); and M16D (sixteen days). The surgical techniques did not generate an important systemic inflammatory response to the point detected by the leukogram, fibrinogen dosage, and peritoneal fluid. The parascrotal technique required long surgery but promoted less bleeding, less edema, and faster healing. The techniques used did not promote sufficient systemic inflammation to alter the number of leukocytes and the fibrinogen concentration; however, evaluation of the peritoneal fluid proved to be important for evaluating inflammatory processes involving the scrotum and inguinal canal. We describe a novel surgical procedure for orchiectomy in Donkeys using a parascrotal access that promoted less risk of bleeding, shorter period of edema, and healing time, but required longer surgery time.
Topics: Animals; Equidae; Fibrinogen; Male; Orchiectomy; Scrotum
PubMed: 35861971
DOI: 10.24425/pjvs.2022.141814 -
Tierarztliche Praxis. Ausgabe G,... Aug 2021
Topics: Animals; Horses; Male; Orchiectomy; Pain Measurement
PubMed: 34425623
DOI: 10.1055/a-1547-0215 -
Annales D'urologie 1992The authors recall that exploratory orchidotomy remains an essential operation for the diagnosis of testicular cancer and orchidectomy constitutes the primary...
The authors recall that exploratory orchidotomy remains an essential operation for the diagnosis of testicular cancer and orchidectomy constitutes the primary therapeutic procedure. The operative technique is described together with its intangible principles, its difficulties and its variants. The tumour markers are best assayed on a sample of cord blood. The insertion of a testicular prosthesis, which is usually well supported, decreases the psychological effects of castration and does not cause any delay in possible adjuvant treatment.
Topics: Biomarkers, Tumor; Humans; Male; Orchiectomy; Prostheses and Implants; Testicular Neoplasms
PubMed: 1616306
DOI: No ID Found -
Archivos Espanoles de Urologia Nov 2018
Topics: Aged; Hematoma; Humans; Inguinal Canal; Male; Orchiectomy; Postoperative Complications; Scrotum
PubMed: 30403384
DOI: No ID Found