Epididymal Sparing Bilateral Orchidectomy with Epididymoplasty for Advanced Cancer Prostate: Our Experience in Rural SetupVijay P Agrawal*, TK Sen and Krishna Shetty MV
Department of Urology, Sri Devraj Urs Medical College, Tamaka, Kolar, Karnataka, India
- *Corresponding Author:
- Dr. Vijay P Agrawal
Department of Surgery
Sri Devraj Urs Medical College
Tamaka, Kolar, Karnataka, India
E-mail: [email protected]
Received date October 15, 2012; Accepted date October 18, 2012; Published date October 22, 2012
Citation: Agrawal VP, Sen TK, Krishna Shetty MV (2012) Epididymal Sparing Bilateral Orchidectomy with Epididymoplasty for Advanced Cancer Prostate: Our Experience in Rural Setup. Med Surg Urol 1:106. doi:10.4172/2168-9857.1000106
Copyright: © 2012 Agrawal VP, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Rise in incidence and variable natural history of prostatic carcinoma, presents a challenge to professionals involved in its management. Cases that come for evaluation and treatment in developing countries like ours are elderly and usually present in the late stages of the disease. Perhaps the best option remain at this stage is palliative in the form of channel TURP to improve the urine flow and suppress the cancer growth by androgen deprivation treatment (ADT). Further improvement of quality of life is achieved by supportive measures like good nutrition, vitamins and calcium supplementation to prevent demineralisation of bones and analgesic for pain relief.
Bilateral Orchidectomy remains the most effective and permanent solution for ADT as it brings down serum testosterone level very rapidly to castration level of 20%. Epididymis functions only as the carrier of sperms and help in maturation during the passage. In no way it is involved in spermatogenesis or production of testosterone. Epididymal sparing bilateral orchidectomy with epididymoplasty achieves androgen deprivation to that of castration level. Left over epididymal bubbins in the scrotal sacs maintains the shape of scrotum and gives the patient a feel of scrotal sac not being empty.