Comparison of subcapsular and total orchiectomy for treatment of metastatic prostate cancer

Subcapsular versus total orchiectomy in the treatment of advanced prostate cancer: A randomized trial

“…The reoperation rates as a result of bleeding or infection were 5% and 13% in the subcapsular and total orchiectomy groups, respectively, and there were significantly fewer complications in the subcapsular orchiectomy group. This was also the conclusion of a retrospective study by Zhang et al [4], who reported complications requiring intervention in 3% and 22% of subcapsular and total orchiectomy patients, respectively (total 74 patients).…”

“…This could be achieved by making a small scrotal incision under local anesthesia. The two operations have been reported to be identical regarding their effects on cancer treatment and serum levels of testosterone and luteinizing hormone [3,4].…”

Comparison of Subcapsular and Total Orchiectomy in Patients with Prostate Cancer

“…There was no difference between the groups in terms of oncological outcomes at postoperative 3 months. In the literature, it is argued that both techniques are oncologically successful when appropriate surgical procedures are followed (7,8,10,11). High testosterone level despite orchiectomy is linked to adrenal production and metastatic foci.…”

Cosmetic Orchiectomy Using Pedicled Fibro-Fatty Tissue Graft for Prostate Cancer:A New Approach

“…The presence of Leydig-like cells in the tunica albuginea [16]and a rise in the excretion of testosterone breakdown products by human gonadotropin stimulation in patients undergoing subcapsular orchiectomy [17]have been reported. Although many investigators have found that subcapsular orchiectomy is equivalent to total orchiectomy [18, 19], we selected subepididymal orchiectomy as a standard procedure from the standpoint that reducing the risk of hormonal control failure was possible.…”