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Gender-Affirming Orchiectomy

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms at side on armboards
Time : 30-60 min (short)
Blood Loss : Low (10-50 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : No
Blocks : Ilioinguinal/Iliohypogastric
Considerations : PONV

Anesthetic Approaches

1GLMA
2MAC, Local Anesthetic
3Spinal
The Surgery

Scrotal or midline raphe incision - a small incision, sited to preserve scrotal skin if vaginoplasty may follow, gives access to both sides through one wound. Delivery of the testis - each testis is...

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