Orchiectomy (Castration, Surgical Removal of the Testicles) – Atlanta, GA*

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About An Orchiectomy

This web site was developed to make the standard male aware of an available procedure for those interested in achieving an alternative persona.  Men often find that many of their regular work and recreational activities are disrupted or diminished by recurring thoughts of sexual activity or unwanted urges which cannot be satisfied during these activities.  As a solution we have a procedure offered here called Orchiectomy, often referred to as Castration.  This permanent surgical solution is achieved by removal of the testicles.  The penis and scrotum are left intact.  This is the most common procedure I perform at this time on standard males to provide them the lifestyle adjustment they want to control their sexual obsessions and in many cases just to allow them to have a more calm and stable way of life as an alternative male.  Some standard males may seek temporary relief with medications to evaluate the benefits before Orchiectomy.  While not appropriate for everyone, if you think Orchiectomy can help you achieve your desired objectives, we will be happy to discuss any goals or related questions you may have about the procedure, which is performed in a local hospital as an outpatient under general anesthesia.  Patients can expect to return to regular activities in 1 or 2 weeks. Please also refer to our other website, http://www.srsatlanta.com. 

While an Orchiectomy will provide the lifestyle changes listed above, there are possible side effects such as reduced muscles strength or acquiring some feminine physical traits such as body hair loss that can occur. However, each neutered male will have his unique experience. Orchiectomy stops most of the body's production of testosterone.  A benefit of this is reduced risk of prostate cancer. Orchiectomy causes sudden hormone changes in the body and other possible side effects from those above are sterility, loss of sexual interest, erectile dysfunction, hot flashes, larger breasts, weight gain, and loss of bone mass.

An orchiectomy is performed by Dr. Fara Movagharnia, our Atlanta, GA plastic surgeon, in order to help transgender women transition more easily and fully from male to female. During this procedure, a bilateral castration is performed where both testicles are removed. This surgery can be beneficial in lowering testosterone levels that are responsible for facial/body hair growth and high sex drives that are associated with men. It can also help women achieve a more feminine-looking shape, as the lack of testosterone can cause more fat storage to take place in areas such as the hips and buttocks. An orchiectomy can be a good option for patients considering sex reassignment surgery at a later time or if they wish to only undergo castration. If you're interested in taking the next step, please contact the Center for Cosmetic & Reconstructive Surgery today to learn more about an orchiectomy. 

Surgical Technique

Simple Orchiectomy

During this procedure, the testicles are removed via a direct incision in the center of the scrotum. You will be placed under general anesthesia for this. Once the incisions are made, the testicles will both be extracted and then the tissue will be closed up. Finally, the scrotal cord is tied off using non-dissolvable sutures and then cut. The entire surgery typically lasts around 30 – 60 minutes and is performed on an outpatient basis.

Radical or Inguinal Orchiectomy

This technique differs from the simple orchiectomy in that the incisions are made in the lower abdomen on either side of the pubic bone. The testicles are then extracted up through the inguinal (groin) canal, and the scrotal cord is clamped off in two different places in order to prevent bleeding before being cut. A non-absorbable suture can be placed in the stump of the scrotal cord for use in future surgeries. This is generally a more popular option for transgender women who are wishing to undergo sex reassignment surgery at a later time, as the incision placement allows for less scar tissue to be present, making it easier to use this tissue for future vaginal construction. This procedure is an outpatient surgery that usually takes around 45 – 90 minutes. 

What to Expect

After your orchiectomy, you can return home in a couple of hours. You will need to come back for a follow-up appointment the next day. Depending on which incision approach you have, your recovery time may vary. However, in general, you can expect to be able to resume some light activities within the first 3 – 4 days, with 2 – 8 weeks needed to achieve a full recovery. Dr. Movagharnia will go over any specific aftercare instructions and other necessary recommendations before sending you home. 

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Average Cost  
From $5,000
Recovery Time  
3 - 4 Weeks
Average Procedure Time  
1 - 1.5 Hours
Post-op Follow-up  
1 Day, 3 Months, 6 Months
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A Safe & Effective Solution

If you're looking to take the next step in finalizing your male to female transformation, then an orchiectomy performed by our skilled plastic surgeon can help. This surgery can help reduce male attributes caused by testosterone production such as body and facial hair, masculine muscle tone, and high sex drive. It is also an effective gateway procedure for those who are wishing to undergo sex reassignment surgery in the future. Call the Center for Cosmetic & Reconstructive Surgery today for more information about an orchiectomy. 

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.