Orchiectomy

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Orchiectomy
Anesthesia type

General, spinal optional but rare

Airway

LMA more common, ETT backup

Lines and access

PIV x 1

Monitors

Standard

Primary anesthetic considerations
Preoperative
Intraoperative

Vagal bradycardia can be caused by pulling on the genitals, atropine should be available and alert surgeon

Postoperative

Infection, bleeding

Article quality
Editor rating
In development
User likes
0

Orchiectomy is the removal of the testicle. Performed often for suspected testicular cancer, in which case an inguinal orchiectomy is performed so the surgeon can also resect the retroperitoneal lymph nodes. For non-cancerous lesions including trauma or testicular torsion, the testicle is removed through the scrotum. A testicular prosthesis may be inserted.

Preoperative management

Patient evaluation

System Considerations
Neurologic
Cardiovascular
Pulmonary
Gastrointestinal
Hematologic
Renal
Endocrine
Other

Labs and studies

Operating room setup

Patient preparation and premedication

Regional and neuraxial techniques

Intraoperative management

Monitoring and access

Induction and airway management

Positioning

Maintenance and surgical considerations

Emergence

Postoperative management

Disposition

Pain management

Potential complications

Procedure variants

Variant 1 Variant 2
Unique considerations
Position
Surgical time
EBL
Postoperative disposition
Pain management
Potential complications

References