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Once a testicular mass suspected of malignancy has been confirmed in the testicle with a physical exam and/or testicular ultrasound and blood tests (i.e. AFP and HCG), a radical orchiectomy is the next step in the diagnostic and therapeutic plan.
Orchiectomy is performed in the operating room under general anesthesia and is an outpatient procedure. An incision is made in the inguinal region. The testicle and its blood supply is removed and sent for pathologic evaluation. The procedure usually takes about 45 minutes to one hour to complete.
Recovery varies for each patient, but usually a lifting restriction of 10 pounds for two weeks after surgery applies. In general, a scrotal support or jock strap is recommended for the first three to five days to minimize swelling.