{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:37:05Z","timestamp":1787071025308,"version":"build-2736575974"},"reference-count":34,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,9,6]],"date-time":"2025-09-06T00:00:00Z","timestamp":1757116800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["J West Afr Coll Surg"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Orchidectomy is the surgical removal of one or both testes. It is one of the commonly done procedures in urologic practice for various clinical indications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>We aimed to review the indications, methods, and outcomes of orchidectomy procedures done for various indications in a health care facility in South East Nigeria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>This was a retrospective study of patients who underwent orchidectomy in our tertiary healthcare facility over a 10-year period (2012\u20132021). The case files of all patients who had orchidectomy within the review period were retrieved, and data were entered into a proforma for the study. Data analysis was done using Statistical Package for Social Science version 20.0.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Eighty patients with complete records were analysed. Their mean age was 64.5 \u00b1 17.1 years. The commonest indication for orchidectomy was advanced cancer of prostate (CAP) in 67.0 (83.8%) with the commonest (65.0%) approach used being trans-scrotal. The majority of procedures (56.3%) were done using regional anaesthesia. Out of 147 orchidectomies done, 67 patients (83.8%), seven patients (8.8%), and 6 (7.5%) were offered bilateral, right-sided and left-sided orchidectomy, respectively. Among 67 patients with advanced CAP that had bilateral orchidectomies, 44 patients (65.7%), 19 patients (28.4%), and four patients (6.0%) had bilateral total orchidectomy, bilateral subcapsular orchidectomy, and bilateral sub-epididymal orchidectomy, respectively. Twenty-three patients (28.7%) had procedure-related complications with surgical site infection being the commonest seen in eight patients (10.0%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Orchidectomy is a common procedure for various indications in urologic practice. It is a safe procedure with a good outcome and minimal morbidity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jwas.jwas_34_24","type":"journal-article","created":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T10:01:55Z","timestamp":1757412115000},"page":"23-29","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Orchidectomy: Analysis of the Indications, Methods, and Outcome of the Procedure in a Nigerian Tertiary Care Health Facility"],"prefix":"10.4103","volume":"16","author":[{"given":"Augustine Obasi","family":"Ulebe","sequence":"first","affiliation":[{"name":"Urology Division, Department of Surgery, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chinonso","family":"Odo","sequence":"additional","affiliation":[{"name":"Urology Division, Department of Surgery, Alex Ekwueme Federal University Teaching 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