Orchidectomy is a surgical procedure to remove one or both testicles. It is performed to treat conditions such as testicular cancer, severe testicular infection, trauma, torsion, or as part of hormonal control in advanced prostate cancer.
Under the expert care of Dr. Ajinkya Kasekar, orchidectomy is performed safely using precise surgical techniques, ensuring minimal discomfort and optimal recovery.

What Is Orchidectomy?

Orchidectomy involves the removal of:

• One testis (Unilateral Orchidectomy), or

• Both testes (Bilateral Orchidectomy)

The procedure may be required for medical, oncological, or emergency reasons and is often a life-saving or disease-controlling surgery.

When Is Orchidectomy Needed?

Orchidectomy is recommended for:

• Testicular cancer

• Suspicious or painless testicular swelling

• Severe testicular infection not responding to treatment

• Testicular torsion with non-viable testis

• Traumatic testicular injury

• Advanced prostate cancer (hormonal control)

• Undescended testis with cancer risk

Early evaluation plays a crucial role in successful outcomes.

Symptoms That Require Immediate Evaluation

• Painless lump or swelling in the testis

• Sudden severe scrotal pain

• Testicular hardening

• Heaviness in the scrotum

• Fever with scrotal pain

• History of trauma with increasing swelling

Any testicular abnormality should be assessed promptly.

Types of Orchidectomy

1. Simple Orchidectomy

Removal of the testis through a small scrotal incision.
Used for infections or hormonal control.

2. Radical (Inguinal) Orchidectomy

The testis is removed through a groin incision.
Gold-standard treatment for testicular cancer, as it prevents cancer spread.

How Orchidectomy Is Performed

1. The surgery is performed under spinal or general anesthesia.

2. A small incision is made (scrotal or inguinal, depending on indication).

3. The affected testis is carefully removed.

4. The incision is closed with sutures.

Surgery usually takes 30–60 minutes.

Recovery After Orchidectomy

Most patients:

• Are discharged the same day or next day

• Resume normal daily activities within 5–7 days

• Experience mild swelling or discomfort temporarily

• Receive medications for pain and wound care

Follow-up includes pathology review (for cancer cases) and further treatment planning if required.

Life After Orchidectomy

• One testis: Normal sexual function, fertility, and hormone levels are usually maintained

• Both testes: Hormone replacement therapy may be required

• Testicular prosthesis can be offered for cosmetic reasons (optional)

Dr. Ajinkya Kasekar provides detailed counseling and support post-surgery.

Why Choose Dr. Ajinkya Kasekar?

• Expertise in testicular and scrotal surgeries

• Safe and precise surgical technique

• Early cancer detection and management

• Compassionate and confidential care

• Clear communication and long-term follow-up

• Focus on physical and emotional well-being

Book a Consultation

If you have noticed any testicular swelling, pain, or abnormality, timely evaluation is essential.
Consult Dr. Ajinkya Kasekar for expert diagnosis and safe orchidectomy when indicated.