✦ Epididymitis Treatment

Epididymectomy

Q: Will epididymectomy affect my fertility?

Epididymectomy on one side does not affect fertility if the other epididymis is intact; bilateral epididymectomy results in azoospermia.

Q: How successful is epididymectomy for chronic pain?

Pain relief is achieved in 70–85% of carefully selected patients; success is highest when pain is clearly localised to the epididymis.

Q: Is testosterone affected after epididymectomy?

No — the epididymis is not involved in testosterone production; testicular function and hormone levels are maintained after epididymectomy.

Surgical Removal of the Epididymis for Chronic Epididymitis or Abscess

45–60 min PROCEDURE

Day Care / 1 Day HOSPITAL STAY

>85% SUCCESS RATE

2–3 Weeks RECOVERY

What is Epididymectomy?

Epididymectomy is the surgical removal of the epididymis, performed for chronic epididymitis causing persistent pain unresponsive to conservative treatment, recurrent epididymal abscess, epididymal masses, or epididymitis in a vasectomised patient causing post-vasectomy congestive epididymitis. The testis is preserved in most cases; the vas deferens is divided and the epididymis excised from the posterior surface of the testis. The procedure is performed under general or spinal anaesthesia with a hospital stay of Day Care / 1 Day. Success rates reach >85% in appropriately selected patients at experienced centres.

Patients with chronic epididymitis causing persistent intractable pain, recurrent epididymal infection, epididymal masses, or post-vasectomy congestive epididymitis. Patients must be adequately fit for anaesthesia and free from active systemic infection before proceeding.

How the Procedure Works

Incision & Access

Scrotal incision; tunica vaginalis opened; testis and epididymis delivered.

Vas Division

Vas deferens identified and divided at the level of the globus minor.

Dissection & Mobilisation

Epididymis carefully dissected from the posterior surface of the testis.

Vessel Ligation

Blood vessels between epididymis and testis ligated and divided.

Wound Closure

Epididymis removed; testis returned to scrotum; wound closed in layers.

Outcomes

45–60 minDURATION

Day Care / 1 DayHOSPITAL STAY

>85%SUCCESS RATE

2–3 WeeksFULL RECOVERY

Who Needs This Treatment?

→Definitive treatment for chronic intractable epididymal pain.
→Eliminates source of recurrent epididymal infection and abscess.
→Preserves the testis and testosterone production in most cases.
→Effective for post-vasectomy congestive epididymitis causing chronic pain.
→Day-case or overnight procedure with minimal recovery time.
→Histology of removed epididymis confirms diagnosis and excludes malignancy.

"Epididymectomy offers lasting relief for patients with chronic epididymal pain that has failed all other measures. Careful patient selection is key — in the right candidate, it can be transformative."

— — Dr. Vipin Reddy, Consultant Urologist, Andrologist & Renal Transplant Surgeon

Common Questions

Frequently Asked

Will epididymectomy affect my fertility?+

How successful is epididymectomy for chronic pain?+

Is testosterone affected after epididymectomy?+

Not sure which treatment is right for you?

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