Radical Inguinal Orchidectomy
Surgical Removal of the Testis for Diagnosis and Treatment of Testicular Cancer
What is Radical Inguinal Orchidectomy?
Radical Inguinal Orchidectomy is the first and most important procedure in testicular cancer management. The testis is removed through an inguinal incision — not a scrotal approach — to prevent disruption of lymphatic drainage patterns and avoid scrotal contamination. The testis, epididymis, and spermatic cord are removed to the level of the internal inguinal ring. The procedure provides pathological diagnosis and is curative for early-stage disease. The procedure is performed under general or spinal anaesthesia with a hospital stay of Day Care / 1 Day.
How the Procedure Works
Inguinal Incision
An oblique inguinal incision is made over the inguinal canal, identical in position to a hernia repair incision.
Cord Control
The spermatic cord is encircled with a soft rubber sling at the deep inguinal ring before the testis is mobilised.
Testicular Delivery
The testis is delivered through the inguinal wound by applying gentle scrotal pressure from outside.
Cord Ligation & Division
The spermatic cord is doubly ligated with 0-vicryl sutures and divided at the level of the internal inguinal ring.
Prosthesis & Closure
A saline testicular prosthesis is inserted into the empty hemiscrotum through the same wound if consented by the patient.
Outcomes
Who Needs This Treatment?
- →Any man with a testicular mass on clinical examination suspicious for malignancy.
- →Those with elevated serum tumour markers (AFP, hCG, LDH) without a clear primary site.
- →Patients with an occult primary germ cell tumour presenting with retroperitoneal masses.
- →Men with infertility investigation findings of a small testicular lesion on ultrasound.
- →Those who want the earliest possible diagnosis and removal of a suspected testicular tumour.
- →Patients with bilateral synchronous testicular tumours where bilateral staged orchidectomy is planned.
"Radical inguinal orchidectomy is both the first diagnostic and first therapeutic step in testicular cancer. The inguinal approach is non-negotiable — it determines everything that follows."
— — Dr. Vipin Reddy, Consultant Urologist, Andrologist & Renal Transplant Surgeon
Common Questions
Frequently Asked
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