Category Archives: Orchiectomy and removal of spermatic cord (tootsie roll)

Would like a transgender orchiectomy

Dr. Reed, Would like a transgender orchiectomy.  How does this differ from a regular orchiectomy?  Trinity

Dear Trinity,

Transgender orchiectomy in our practice whether being performed during transgender vaginoplasty or as a procedure unto itself involves the removal of the spermatic cord with high ligation.  High ligation refers to sub-inguinal removal of the testicle and cord as one unit.  One patient likened the cord to a tootsie roll and could not understand why her surgeon did not remove it.

Transgender orchiectomy takes between 15 and 20 minutes.  Closing a singular vertical 1 1/4″ incision in 3 layers provides for a very neat cosmetic result.  For your comfort a compressive dressing is applied which you should leave on for 2 days.  The use of a sheathed ice pack in the recovery room reduces bruising.

Please see before and after male to female bottom surgery pictures on our web-site


Harold M. Reed, M.D.
The Reed Centre for Transgender Surgery | Dr. Harold Reed | Miami

Male to female transgender orchiectomy with vaginoplasty picture
(patient of Dr. Reed)

How soon can I expect changes with transgender bilateral orchiectomy?

How soon can I expect feminizing changes after bilateral orchiectomy?  Brittani Dear Brittani, The changes which occur assuming proper doses of estrogens (serum estrogen of about 125 to 150 pg/ml) are known and reported in WPATH version VII based on work by endocrinologist Dr. Hembree. Usually patients who schedule in with us for orchiectomy should…Continue Reading

Transgender orchiectomy cost

Dr. Reed, What is the cost for transgender orchiectomy.  My therapist has recommended you.  How long do I have to stay?  Miribal Dear Miribal,  Our fee for transgender orchiectomy is $2,500 and that includes surgery, local anesthesia with IV sedation, use of the facility and any followup care we provide.  We ask that you stay…Continue Reading

Need an orchiectomy to stop “washed out” effects of spironolactone and reduce estrogens

Dr. Reed, Need an orchiectomy to stop “washed out” effects of spironolactone and reduce estrogens.  Nichole Dear Nichole, We do several transgender orchiectomy (ies) every month.  As rule you can reduce your estrogen intake by a third and of course stop spironolactone (called Aldactone).  As estrogens are coagulopathic we ask that your stop estrogen for 1…Continue Reading

(FAQ) Orchiectomy for Transgender Woman | The Reed Centre | Miami

Dr. Reed,  I have a very poor tolerance for spironolactone, makes me weak.  Would like an orchiectomy as soon as possible. Patricia Dear Patricia, Feminizing orchiectomy is irreversible surgery.  For that reason we require 2 letters of therapy clearance, one written by a therapist with a doctoral degree.  We have availability for orchiectomy just about…Continue Reading

(FAQ) Had an orchietomy. During vaginoplasty will you remove the spermatic cords?

Had an orchiectomy. During transgender vaginoplasty will you remove the spermatic cords? Sheila Dear Sheila, If you can feel the spermatic cords now (often referred to as a “tootsie roll“) surely, I will remove them, as the last question you want posed in an intimate situation is “what’s that?”  If I cannot feel them, I’d opt…Continue Reading

(FAQ) Orchiectomy | Dr. Harold Reed | The Reed Centre for Transgender Surgery

Dr. Reed, I have been living as a transgender woman for 3 years, have been on estrogens and spironolactone for 2 years, and would like to have an orchiectomy.  Do you have any FYI packets.  Francine Dear Francine, We do several orchiectomies every month at the Reed Centre for Transgender Surgery. The advantages are reduction…Continue Reading

Orchiectomy | Dr. Harold Reed | Miami

Dr. Reed,  Would like to take my first step to below the waist surgery with a bilateral orchiectomy..  Please advise on the cost and type of anesthesia used.  What is the typical recovery period.  I drive a lift truck in retail home improvement  store.  .  Generally how soon could I get back to work.  How…Continue Reading

Do you remove the spermatic cord when you do an orchiectomy and why?

Do you remove the spermatic cord when you do an orchiectomy and why?  Am considering having an affordable orchiectomy and a preliminary step to my male to female sexual transition. Krista Dear Krista, Yes, during MTF orchiectomies we remove the spermatic cord up to the external inguinal ring.  If not done, the cord remnant has…Continue Reading