✦ Testicular Torsion Treatment

Orchidectomy (if non-viable testis)

Q: Will I need hormone replacement after losing one testis?

Hormone replacement is not needed if the contralateral testis is healthy and functioning normally; testosterone production is maintained by the remaining testis.

Q: When can a prosthetic testis be inserted?

A silicone prosthesis can be inserted at the time of orchidectomy or deferred to a planned procedure 3–6 months later.

Q: Can I still father children with one testis?

Yes — a healthy contralateral testis produces sufficient sperm for fertility; orchidectomy of one testis does not cause infertility.

Removal of Non-Viable Testis Following Testicular Torsion

20–30 min PROCEDURE

Day Care / 1 Day HOSPITAL STAY

>98% SUCCESS RATE

1–2 Weeks RECOVERY

What is Orchidectomy (if non-viable testis)?

Orchidectomy during scrotal exploration for testicular torsion is performed when the testis is found to be frankly necrotic and non-viable after detorsion and a period of observation. A non-viable testis is a potential source of infection and anti-sperm antibodies affecting the contralateral testis. Orchidectomy is performed through the same scrotal incision; contralateral orchidopexy is always performed in the same operation. A prosthetic testis can be inserted at the time or planned subsequently. The procedure is performed under general or spinal anaesthesia with a hospital stay of Day Care / 1 Day.

Patients with testicular torsion in whom the testis is found to be non-viable at scrotal exploration — typically presenting more than 12–24 hours after symptom onset. Patients must be adequately fit for anaesthesia and free from active systemic infection before proceeding.

How the Procedure Works

Scrotal Exploration

Scrotal exploration performed; torsion identified and cord detorsed.

Viability Assessment

Testis assessed after 5–10 minutes in warm saline — viability criteria applied.

Non-Viability Confirmed

Non-viable testis confirmed (black, non-bleeding, no Doppler signal on assessment).

Orchidectomy

Spermatic cord transfixed and ligated at the external ring; testis removed.

Contralateral Orchidopexy & Prosthesis

Contralateral orchidopexy performed; silicone prosthesis inserted if requested by the patient.

Outcomes

20–30 minDURATION

Day Care / 1 DayHOSPITAL STAY

>98%SUCCESS RATE

1–2 WeeksFULL RECOVERY

Who Needs This Treatment?

→Removes non-viable necrotic tissue eliminating infection risk.
→Prevents anti-sperm antibody formation from gangrenous testis harming contralateral sperm.
→Contralateral orchidopexy performed simultaneously preventing future torsion on the other side.
→Prosthetic testis can be inserted at the same operation for cosmetic symmetry.
→Rapid recovery from scrotal approach — most patients home same day or next morning.
→Definitive management avoiding prolonged recovery from non-viable retained testis.

"Removing a non-viable testis is the right decision — it protects the remaining testis and eliminates a source of infection. With a prosthesis, most men feel complete again with minimal impact on their quality of life."

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

Common Questions

Frequently Asked

Will I need hormone replacement after losing one testis?+

When can a prosthetic testis be inserted?+

Can I still father children with one testis?+

Not sure which treatment is right for you?

Book a consultation with Dr. Vipin Reddy and get a personalised treatment plan.

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