EP300: Mechanism of orchidectomy | PUTTING DR G ON THE SPOT - video Dailymotion

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Consultant urologist Dr George Lee Eng Geap, or a.k.a Dr G, gives advices to a reader who is facing with making tough choices to treat a possible testicular cancer.  Read more at https://tinyurl.com/57ajcx6y  WATCH MORE: https://thestartv.com/c/news SUBSCRIBE: https://cutt.ly/TheStar LIKE: https://fb.com/TheStarOnline

Transcript

00:00In the first week, we talk about mycrolithiasis, where predispose people to testicular cancer.

00:05Second week, we talk about the symptoms of painlessness in the lump in the testicle.

00:10Now, we want to do exactly what we will do to somebody who's got testicular cancer.

00:23As I mentioned to you, testicular cancer tends to happen in someone between age of 18 to 35.

00:28So when that happens, what do we deal with?

00:32So after the diagnosis with ultrasound scan and also tumor markers, then the operation can be carried out.

00:40The operation can be carried out essentially through one way, not through the scrotum, but through the inguinal area.

00:47The inguinal is in the groin area that we can actually take the whole testicle out, plus the spermatic ducts.

00:55That is a condition called radical orchidectomy.

00:59When the testicle itself is just removed from the scrotum, it's actually simply called orchidectomy.

01:04When the whole lump of testicle being taken out together with its spermatic cord,

01:11then we want to make sure that all the serving lymph node systems are also removed.

01:17Because by doing that, we can make sure that the whole testicle is eradicated.

01:23So the operation itself is quite simple.

01:26It's through the inguinal area.

01:27And after the operation, patient tend to have a resting period for about one or two weeks in order to recover from this operation.

01:36Prior to doing this operation, we tend to do a CT staging scan to make sure that there is no other area that's involved.

01:44If there is, after the removal, the patient might require chemotherapy or radiotherapy.

01:51And also, we want to make sure that patient has got enough sperms.

01:55Because the other testicle might not be so healthy.

01:58So by before removal of the testicle, sperm cryopreservation might be necessary.

02:06So after the procedure, after recovery, only then we will work out whether this is germ cell tumour or non-germ cell tumour.

02:17And then from there, further treatment might be necessary such as chemotherapy and radiotherapy.

02:23And remember, the cure rate can be as high as 97% even though it spreads elsewhere.

02:29For the following week, we want to explore something called testicular prosthesis.

02:35Yes, after the removal of a testicle, we can put a fake testicle inside.

02:40So under what other circumstance apart from cancer that we put a fake testicle inside?

02:45Then stay tuned for next week's Putting Dr. G on the Spot.

EP300: Mechanism of orchidectomy | PUTTING DR G ON THE SPOT

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