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Epididymectomy

Surgical removal of the epididymis.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Epididymectomy?

Epididymectomy is the surgical removal of the epididymis, the structure located on the posterior and superior aspect of the testis. It is performed for chronic epididymitis, recurrent epididymitis, large epididymal cysts (spermatocele) and rarely for epididymal tumors.

The procedure is performed through a scrotal incision, with the epididymis carefully separated from the testis and removed while preserving the testis and its blood supply. The operation may be unilateral or bilateral.

Bilateral epididymectomy results in infertility, so the decision must be made carefully in patients who desire children. Postoperative pain reduction is reported to be in the range of 50-90%.

Symptoms

Chronic epididymal pain (longer than 3 months)
Recurrent episodes of epididymitis
Enlarging epididymal cyst (spermatocele)
Scrotal pain and tenderness
Induration or mass in the epididymis
Infection unresponsive to antibiotic therapy

Risk Factors

Post-vasectomy pain syndrome
Recurrent urinary tract infection
Tuberculous epididymitis
Amiodarone use (drug-induced epididymitis)
Previous inguinal surgery
Urinary reflux (in children)

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Chronic epididymal pain exceeding 3 months
  • Recurrent episodes of epididymitis
  • Enlarging scrotal mass
  • No response to medical treatment

Treatment Methods

01
Epididymectomy (scrotal approach)
02
Partial epididymectomy (in localized disease)
03
Spermatocele excision (cyst removal)
04
Preoperative Doppler ultrasonography
05
Postoperative scrotal elevation and cold therapy
06
Pain control and anti-inflammatory treatment

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.