Carcinoma of the prostate gland must often be treated by bilateral orchiectomy. The most popular method involves bilateral total epididymo-orchiectomy, and many urologists utilize subcapsular orchiectomy, retaining the tunica albuginea and epididymis as a testicular prosthesis. Others have advocated the use of plastic prostheses. Review of the urological texts and the periodical literature failed to reveal a method by which the testis is completely excised with its tunica and the epididymis is utilized as a substitute for the testicular mass.
Many patients with carcinoma of the prostate are reluctant to permit bilateral orchiectomy when they know there will be complete absence of any scrotal content. Certainly it is a source of masculine satisfaction to palpate some sort of a soft tissue within the scrotum.
The method presented in the accompanying illustration has been used for some years and was originally described to me by Dr. William Boyce, of the Bowman
DeTAR JH. Orchiectomy with Epididymal Prosthesis. AMA Arch Surg. 1958;76(4):569-570. doi:10.1001/archsurg.1958.01280220089017