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Castration Booklet

Understanding Castration booklet

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Disease Insight

Conditions & treatment options.

Male

Castration

Orchiectomy – surgical removal of one or both testicles. Bilateral orchiectomy, or castration, – removal of both testicles because the person is no longer able to reproduce.

Also known as Orchiectomy, Orchidectomy (UK)

Castration is most commonly performed to treat cancer or reduce the almost certain risk of cancer. Testicular cancer 4.2 cases per 100,000. Testicular torsion 4.5 cases per 100,000

Next page: Symptoms That May Require Castration as Treatment

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Symptoms That May Require Castration as a Treatment

The symptoms below may require castration to treat the issue at hand:

  • Cancer.
  • A tumor is found within the gland itself
  • Prostate cancer or cancer of the male breast.
  • Prevent cancer when an undescended testicle is found in a patient who is beyond the age of puberty.
  • Testicular torsion - twisting of
  • Lower the level of testosterone in the body.
  • A bilateral orchiectomy is commonly pe
  • Reformed as one stage in male-to-female (MTF) gender reassignment surgery.

Testicular and Genital Cancer

Most men discover cancer in their testicles through self-examination, but doctors also find many early cases as part of a routine physical examination. It usually first appears as a hard, painless, irregularly shaped lump. It may produce a heavy feeling in the groin. Testicular cancer does not produce pain until it is well advanced. The male may have nausea, vomiting, swollen legs and breasts, and a nodule around the neck. When testicular cancer has spread to other body parts (metastasized), it produces back pain, coughing, and shortness of breath (SOB).

Early prostate cancer does not cause symptoms. It is usually detected by a PSA blood test result greater than 4.0 ng/ml (nanograms per milliliter of blood) or a digital rectal exam (DRE) by a doctor. Signs and symptoms of advanced prostate cancer include: Difficult or painful urination (dysuria); desperate need to urinate (urgency); frequent urination, especially at night (nocturia); a weak or uncontrollable flow of urine; retained urine in the bladder; bloody urine or semen; painful ejaculation.

Next page: Causes for Castration

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Causes for Castration

The testes produce the male hormone testosterone, which stimulates growth of some cancerous tumors. For example, a man with testicular cancer requires orchiectomy or chemical castration to prolong life. A boy with undescended testicles (retained in his abdomen instead of moving down into his scrotum) is at risk of developing cancer if they are left in place.

Other reasons castration is performed include to:

  • Stanch bleeding or remove dead tissue when the testicles have been traumatized by force, sports, radiation, workplace chemical exposure, or cancer chemotherapy
  • Remove a serious infection, such as gangrene or flesh-eating disease (necrotizing fasciitis)
  • Treat testicular torsion
  • Correct orchitis or infarct, complications that can occur 2 or 3 days after an inguinal hernia repair
  • Treat a rare form of tuberculosis
  • Treat infarction of the testicles from a rare vascular condition, polyarteritis nodosa (PAN)
  • Make a hermaphrodite child, who has ambiguous sex organs, distinctly female
  • Allow the female hormones given to a male-to-female transsexual to work more quickly, or as a cheaper alternative to expensive, difficult vaginoplasty
  • Offer a voluntary, rehabilitative alternative to long-term incarceration for repeat sex offenders who want help to control their urges
  • Follow religious, social and wartime practices

Diagnosis

Secondary Considerations

If both testes removed: Infertility and loss of sexual function. Psychological considerations.

Prostate cancer:  rectal examination,  trans rectal ultrasound (TRUS), prostate-specific antigen (PSA) in the patient's blood and tissue biopsy.

Testicular cancer: mass palpation, which may or may not be painful. In order to perform a biopsy for definitive diagnosis, however, the affected testicle must removed by radical orchiectomy.

Next page: Castration and Alternative Treatments

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For men

AndroForte® 2% Testosterone Cream is specially formulated for men with low blood testosterone levels.

Downloadable Resources

Castration and Alternative Treatments

Your treatment options depend on why you need castration, the skill of your doctor, and how much viable tissue you have remaining for reconstruction. Every case is different, but in general, here are your options:

Gender Reassignment

Anti-androgen hormones, or orchiectomy, or vaginoplasty, or a combination of all three

Prostate Cancer

Anti-androgen hormones, radiation, and chemotherapy short-term and orchiectomy long-term

Testicular Cancer

Orchiectomy

Testicular Torsion

Detorsion is successful in 100% of boys who report pain within 6 hours of onset. Orchiectomy is required in all boys who are left in pain more than 24 hours.

Serial Sex Offenses

Incarceration, or a combination of psychotherapy with anti-androgen hormones

Straddle Injury

Orchiectomy

Next page: Further Information About Castration

AndroForte® 5

AndroForte 5 testosterone cream packaging

For men

AndroForte® 5% Testosterone Cream is specially formulated for men with low blood testosterone levels.

Downloadable Resources

AndroForte® 2

AndroForte 2 testosterone cream packaging

For men

AndroForte® 2% Testosterone Cream is specially formulated for men with low blood testosterone levels.

Downloadable Resources

Download our Booklet

Downloading our booklets is FREE.

Topics discussed in the Understanding Castration booklet include:

  • What is male castration?
  • Why is castration performed?
  • What are the statistics?
  • What are the signs and symptoms of genital cancer?
  • What are my treatment options?
  • How is castration performed?
  • What are the pros and cons of orchiectomy?
  • What are the pros and cons of chemical castration?
  • What is the role of testosterone in humans?
  • What are the side-effects of testosterone replacement therapy?

Testosterone for Men FAQ's

AndroForte® 5

AndroForte 5 testosterone cream packaging

For men

AndroForte® 5% Testosterone Cream is specially formulated for men with low blood testosterone levels.

Downloadable Resources

AndroForte® 2

AndroForte 2 testosterone cream packaging

For men

AndroForte® 2% Testosterone Cream is specially formulated for men with low blood testosterone levels.

Downloadable Resources

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