Cosmetic Appeal, HRQoL and Effectiveness of Simple and Pseudotesticular Techniques of Orchidectomy in Prostate Cancer (TEPSO)
Prostate Cancer, Quality of Life, Orchiectomy
About this trial
This is an interventional other trial for Prostate Cancer focused on measuring orchidectomy, pseudotesticle
Eligibility Criteria
Inclusion Criteria:
- Consecutive consenting patients with histologically confirmed locally advanced or metastatic PCa who have accepted to have an orchidectomy
Exclusion Criteria:
- Patients who have had bilateral orchidectomy
- Those who opt for medical castration
Sites / Locations
- University College Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Experimental
Bilateral simple orchidectomy (BSO)
Subcapsular orchidectomy (BSCO)
Epididymal-sparing orchidectomy (BESO)
The patients would have the testis, epididymis and distal cord structures excised
The tunica albuginea was incised longitudinally and the testicular parenchyma scraped off it. The hilar region was secured with a haemostat and the parenchyma excised off it. A haemostatic suture was applied at the hilum. A running interlocking water-tight capsular suture was inserted
The epididymal sinus was developed. The epididymal vessels were sequentially clamped and divided, removing the testicle from the epididymis. The caput was looped to meet the head and the adjoining surfaces of the body sutured together (epididymoplasty) Vasectomy done to reduce future risk of epididymitis