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Being regarded as the last option in eliminating your scrotal pain, the epididymectomy must be performed by experienced and skilled surgeons. At our health center, we provide you with the best team of urologists able to offer you their services so your quality of life can be greatly improved. At Cedars-Sinai Marina del Rey Hospital along with the best doctors in urology, you will find the most advanced forms of treatment. Your recovery following this procedure is our highest priority.

The surgical removal of the epididymis is called epididymectomy. This operation is rarely indicated and is used only as a last option in the treatment of pain. It may be advised if you have a chronic infection, which does not respond to antibiotics, and for postoperative complications of a vasectomy procedure.

This procedure is also indicated in conditions of inflammation or infection of the epididymis called epididymitis. An epididymal cyst is another condition in which fluid-filled swelling occurs in the epididymis, and is common in men above 40 years of age. If there are multiple such cysts, removal of the entire epididymis is done through an epididymectomy procedure.

An epididymectomy is recommended only when the pain is localized to the epididymis. Unilateral or bilateral epididymectomy is a more feasible treatment option in conditions such as chronic orchialgia related to postvasectomy pain syndrome or chronic epididymitis. Other conditions in which epididymectomy is indicated are listed below:

  • Chronic scrotal pain
  • Epididymal cysts
  • Chronic epididymo-orchitis
  • Complex epididymal cystic disease
  • Abscess or chronic recurrent epididymitis
  • Post-vasectomy epididymal engorgement
  • Epididymal tuberculosis resulting in caseation and a firm expanding mass

Epididymectomy is performed using various techniques such as partial or total, unilateral or bilateral. The surgeon chooses the one most suitable for your condition. Generally, this procedure is done under local anesthesia on an outpatient basis.

This is a testicle-sparing procedure and may take about an hour. Most patients can return home on the day of the procedure, however, if it is done under general anesthesia, you may need to stay overnight at the hospital, following the procedure. The surgeon makes a transverse cut on the scrotal sac, just as big to allow the separation of the epididymis from the testicle and its surgical removal.

The testicle will be placed back into the scrotum, and then the incision is closed using sutures. A small drain may be placed at the incision site to drain out excess blood or fluid from the scrotum after the procedure.

Epididymectomy is generally a safe procedure. Potential risks and complications exist as with any major surgical procedure, and these include:

  • Collection of blood within the scrotal sac
  • Infection
  • Formation of blood clots in blood vessels
  • Contraction of testicle