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Thank you for writing in today. Generally, when there is a resection of the prostate, testicle removal in not necessary. This would not be a common occurrence. Usually testicles are only removed due to testicular cancer (not prostate cancer) or necrosis. I hope this helps. If you have any additional questions or concerns, please let me know. Lisa
The patient is my father who had problem urinating. The doctor diagnosed prostate enlargement, a surgery was coducted to remove the prostate, hence the patient complained of swelling in one of the testes, the doctor now said that he had performed histological tests on the removed prostate and found it to be cancerous, so he is advising that the testes be removed to avoid the spread of cancer because prostate cancer is hormone dependent and that testis supply the hormone i.e androgens.
My question is - would orchioectomy be neccesary since the cancerous prostate has been removed or the doctor is just trying to coverup complications that he cannot explain as a result of the swollen testis?
Is there a link between the prostate and the androgens? and if there is, the doctor said the prostate was removed, so why should we worry about prostate cancer? He specificaly said we are not dealing with testicular cancer, the logic here is that if the prostate is cancerous and has been removed, would there be any need to control the supply of androgens from the testes or is it the androgens that is causing the cancer?