Orchiectomy
In Glens Falls, NY

Radical Orchiectomy

A radical orchiectomy is a surgical procedure to remove one testicle, typically performed when there is concern for testicular cancer. It is the first and most important step in both diagnosing and treating this type of cancer.

At our practice in Glens Falls, Dr. Friedman provides thorough, compassionate care for patients needing radical orchiectomy, offering advanced surgical treatment close to home for men in the Saratoga, Capital Region, and Adirondack areas.

Why Is Radical Orchiectomy Performed?

Radical orchiectomy is recommended when:

• A testicular mass is found on physical exam or ultrasound

• There is suspicion of testicular cancer

• Tumor markers (such as AFP, hCG, LDH) are elevated

In most cases, orchiectomy is both diagnostic and therapeutic—the removed testicle is sent to pathology to determine the exact type of tumor, which guides further treatment (if needed).
 

How the Procedure Is Done

• Performed under general anesthesia

• A small incision is made in the groin, not the scrotum

• The testicle is removed along with the spermatic cord to prevent spread

• The scrotum is left intact

This approach minimizes the risk of cancer cells seeding into surrounding tissues.
 

Prosthetic Testicular Implant

Some patients choose to have a testicular prosthesis placed at the time of surgery for cosmetic and psychological reasons. This is entirely optional and can be discussed with Dr. Friedman during your consultation.

Benefits of a prosthetic implant:

• Maintains scrotal appearance

• May reduce feelings of loss or imbalance

• Can be placed during the same procedure or at a later date

Risks of a prosthetic implant:

• Infection or implant rejection (rare)

• Shifting or asymmetry

• May require removal or revision if complications arise

Dr. Friedman will help you decide whether a prosthesis is right for you based on your preferences, anatomy, and medical history.

Risks of Radical Orchiectomy

As with any surgery, there are potential risks. These include:

• Bleeding or hematoma

• Infection at the incision site

• Chronic scrotal or groin discomfort

• Emotional adjustment to the loss of a testicle

Most men tolerate the procedure well and recover quickly. Having one remaining healthy testicle is usually sufficient to maintain normal testosterone levels, fertility, and sexual function.

If future fertility is a concern, sperm banking may be recommended before surgery, especially if there is a chance of needing additional treatment (such as chemotherapy or radiation).

Recovery and Follow-Up

• Most patients go home the same day

• Return to light activity in 7–10 days

• Avoid heavy lifting or strenuous activity for 2–3 weeks

• Pain is usually mild and managed with oral medications

Pathology results typically return within 1–2 weeks, and further treatment or surveillance is based on the tumor type and stage.

Expert Urologic Cancer Care Close to Home

Dr. Friedman is committed to providing educational, patient-centered care. You’ll receive a full explanation of your diagnosis, treatment options, and follow-up plan. We work closely with regional oncology partners when further therapy is needed.

If you've been told you have a testicular mass or have been referred for orchiectomy, contact our office to schedule a consultation. We’re proud to offer expert urologic oncology care to patients throughout Glens Falls, Saratoga Springs, and the surrounding Adirondack and Capital regions.