There are a large number of male diseasessexual sphere, many of which are so serious that doctors suggest the representatives of the stronger sex to perform an operation to remove one testicle - hemistraction. This measure is resorted to only in the most extreme cases. Men are very afraid that this will affect their sexual function or they will not be able to have children. This is not true. The operation is not able to make a man impotent and does not affect their ability to fertilize.
Indication for the operation
There are the following reasons leading to the fact that it is necessary to carry out the removal of the testicle in men:
- Prostate cancer. As a result of the operation, male sex hormones stop being produced, which allows you to control tumor growth.
- If during puberty the testicle does not descend.
- A large amount of testosterone caused by many systemic diseases.
- Twisting of the spermatic cord, due to which the organ is no longer supplied with blood. This pathology occurs as a result of prolonged sports exercises or physical effort.
- Testicular cancer
Preparing for surgery
Before the operation will be carried outremoval of the testicle in men, carry out standard procedures: a complete physical examination, the delivery of urine and blood for analysis, taking pictures. Determine the possible risks of anesthesia.
A list is also provided to the doctor.drugs that are usually taken by a man. It is forbidden a week before the operation to use aspirin or other anti-inflammatory drugs, as well as blood thinning drugs (for example, "clopidogrel", "warfarin"). The intestines should be cleaned with an enema or mild laxatives. 8 hours before the removal of the testicle, the patient is forbidden to eat and two hours to drink.
How is the operation?
Basically, the removal of the testicle in men isunder local or spinal anesthesia, but sometimes at the request of the patient the doctor uses general anesthesia. The operation lasts from one to two hours, depending on the severity of the disease.
First, in the genital area shave hair, andthen fix the penis with a bandage. An anesthetic is injected into the scrotal suture, after which a 5 cm incision is made through it. The testes are taken out, pinch and cross the spermatic cord. The remains of the cord are inserted into the scrotum and a cosmetic suture is applied.
After the operation, the patient can immediatelyleave the hospital. A man can go to work in a few days. To preserve the aesthetic appearance of the external genital organs, it is possible to select an implant, which is a silicone prosthesis, in shape and size, which resembles the removed organ, before the operation.
What complications may occur?
As with any surgical intervention, removal of the testicle in men can be accompanied by various complications, and they usually appear in the first few days after surgery. It can be:
- pain;
- severe bleeding;
- fever.
However, after hemicastration, the consequences can be much more serious:
- loosen seams;
- suppuration caused by infection;
- tissue or nerve damage;
- swelling at seams.
All of the above pathological conditions require immediate medical care, as this is a rather serious operation - removal of the testicle in men.
Postoperative period
After surgery forpostoperative wound should be treated very carefully, so as not to have complications. In the first two to three weeks after the removal of the testicle, men are prohibited from playing sports, lifting weights, going to the pool, bath or sauna, making sudden movements, having sex, taking a bath.
It is necessary to perform the following actions:
- external genitalia should be wiped twice a day;
- to avoid puffiness, it is recommended to apply an ice pack to the groin;
- drink every day 2.5 liters of clean non-carbonated water;
- must wear an inguinal bandage.
Possible effects after surgery to remove the testicle
The main function of the testes is to produceandrogen. Testosterone is responsible for sexual desire, in addition, it contributes to the development of bone tissue and activates blood flow. Many men are mistaken in believing that after such an operation there may be erection problems. After removal of one testicle, the second testicle is fully capable of performing its functions. Otherwise, hormone replacement therapy is carried out.
Due to hormonal imbalance occurchanges in the appearance of men. Due to an increase in fat, weight begins to increase, muscle mass decreases, skin becomes flabby, and bone tissue loses its density.
The consequences of removing the testicle in men may be as follows:
- weight gain often reaches 10 kilograms;
- specific breast augmentation, palpation feels sore;
- psychological impotence, which arises because of dissatisfaction with the appearance of their genitals;
- fatigue, which after some time becomes chronic;
- symptoms of female menopause: ebb, flow, sweating;
- Stretch marks appear on the skin due to low levels of elasticity and collagen, increased dryness;
- decreased sensitivity of the genitals;
- irritability, unsubstantiated mood swings;
- decrease or complete loss of sexual desire.
Conclusion
Male testicular removal is rather serious.surgery, which can cause various complications. To avoid this, it is necessary to properly observe the postoperative regime. Be sure to wear a retention bandage. The incision on the scrotum heals without a trace. Males with one testicle almost always become fathers, because the remaining testicle normally performs its function.
