Subcapsular orchiectomy using ultrasonic surgical aspirator for testicular androgen ablation: A new alternative technique and long-term follow-up

SummaryWe report results in 12 patients obtained using a technique of subcapsular orchiectomy with an ultrasonic surgical aspirator (CUSA) and the changes in serum testosterone level after orchiectomy. The procedure was simple and safe, and the time for the operation ranged from 38 min to 65 min, taking an average of 46 min. The average time for aspiration of each testis was 15 min. Operative complications, such as bleeding, post-operative pain and wound-swelling were minimal and compression dressings were not necessary. Post-operatively, the serum testosterone level dropped to within a castrated level and remained at this level for 5 years. We concluded that subcapsular orchiectomy using CUSA is superior to conventional bilateral scrotal orchiectomy and will be a useful option for testicular androgen ablation.