Orchidectomy and oestrogen therapy were introduced simultaneously in 1941 for patients with advanced carcinoma of the prostate by Charles Huggins and his colleagues (Huggins and Hodges, 1941; Huggins, Stevens and Hodges, 1941; Huggins, Scott and Hodges, 1941). Oestrogen therapy has always been more popular than orchidectomy, and the first purpose of this article is to examine, and question, the justification for this. The second purpose is to question the widelyheld belief that, as regards hormonal suppression, subcapsular orchidectomy is an incomplete form of castration.
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Clark et al. (1977) studied this question.
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