Journal of the West African College of Surgeons · 2025
Orchidectomy: Analysis of the Indications, Methods, and Outcome of the Procedure in a Nigerian Tertiary Care Health Facility.
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Ulebe Augustine Obasi, Odo Chinonso, Obi Anselm Okwudili, Okeke Chike John, Ogbobe Uchenna, Onyebum Okechukwu, Omebe Sunday, Eze Ugochukwu Balantine, Obiesie Ahuizechukwu Emmanuel, Abiahu Joseph, Orakwe Dubem Ejikeme, Afogu Emmanuel
Аннотация
BACKGROUND: Orchidectomy is the surgical removal of one or both testes. It is one of the commonly done procedures in urologic practice for various clinical indications.
OBJECTIVES: We aimed to review the indications, methods, and outcomes of orchidectomy procedures done for various indications in a health care facility in South East Nigeria.
MATERIALS AND METHODS: This was a retrospective study of patients who underwent orchidectomy in our tertiary healthcare facility over a 10-year period (2012-2021). The case files of all patients who had orchidectomy within the review period were retrieved, and data were entered into a proforma for the study. Data analysis was done using Statistical Package for Social Science version 20.0.
RESULTS: Eighty patients with complete records were analysed. Their mean age was 64.5 ± 17.1 years. The commonest indication for orchidectomy was advanced cancer of prostate (CAP) in 67.0 (83.8%) with the commonest (65.0%) approach used being trans-scrotal. The majority of procedures (56.3%) were done using regional anaesthesia. Out of 147 orchidectomies done, 67 patients (83.8%), seven patients (8.8%), and 6 (7.5%) were offered bilateral, right-sided and left-sided orchidectomy, respectively. Among 67 patients with advanced CAP that had bilateral orchidectomies, 44 patients (65.7%), 19 patients (28.4%), and four patients (6.0%) had bilateral total orchidectomy, bilateral subcapsular orchidectomy, and bilateral sub-epididymal orchidectomy, respectively. Twenty-three patients (28.7%) had procedure-related complications with surgical site infection being the commonest seen in eight patients (10.0%).
CONCLUSION: Orchidectomy is a common procedure for various indications in urologic practice. It is a safe procedure with a good outcome and minimal morbidity.
OBJECTIVES: We aimed to review the indications, methods, and outcomes of orchidectomy procedures done for various indications in a health care facility in South East Nigeria.
MATERIALS AND METHODS: This was a retrospective study of patients who underwent orchidectomy in our tertiary healthcare facility over a 10-year period (2012-2021). The case files of all patients who had orchidectomy within the review period were retrieved, and data were entered into a proforma for the study. Data analysis was done using Statistical Package for Social Science version 20.0.
RESULTS: Eighty patients with complete records were analysed. Their mean age was 64.5 ± 17.1 years. The commonest indication for orchidectomy was advanced cancer of prostate (CAP) in 67.0 (83.8%) with the commonest (65.0%) approach used being trans-scrotal. The majority of procedures (56.3%) were done using regional anaesthesia. Out of 147 orchidectomies done, 67 patients (83.8%), seven patients (8.8%), and 6 (7.5%) were offered bilateral, right-sided and left-sided orchidectomy, respectively. Among 67 patients with advanced CAP that had bilateral orchidectomies, 44 patients (65.7%), 19 patients (28.4%), and four patients (6.0%) had bilateral total orchidectomy, bilateral subcapsular orchidectomy, and bilateral sub-epididymal orchidectomy, respectively. Twenty-three patients (28.7%) had procedure-related complications with surgical site infection being the commonest seen in eight patients (10.0%).
CONCLUSION: Orchidectomy is a common procedure for various indications in urologic practice. It is a safe procedure with a good outcome and minimal morbidity.