Orchidectomy (if non-viable testis)
Removal of Non-Viable Testis Following Testicular Torsion
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
Who Needs This Treatment?
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Removes non-viable necrotic tissue eliminating infection risk.
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Prevents anti-sperm antibody formation from gangrenous testis harming contralateral sperm.
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Contralateral orchidopexy performed simultaneously preventing future torsion on the other side.
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Prosthetic testis can be inserted at the same operation for cosmetic symmetry.
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Rapid recovery from scrotal approach — most patients home same day or next morning.
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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 Questions
Not sure which treatment is right for you?
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