Orchiectomy (Testicle Removal Surgery) at Sarkar Hospital, Agra
Advanced Urology & Cancer Care with Compassion and Precision
Overview
Orchiectomy, also known as testicle removal surgery, is an important surgical procedure performed to treat conditions affecting the testes, such as testicular cancer, severe trauma, chronic infection, testicular torsion, and hormone-related disorders. In certain cases, orchiectomy is also recommended as part of treatment for prostate cancer or male breast cancer, where reducing testosterone levels helps slow tumour growth.
At Sarkar Hospital, Agra, our experienced urologists and surgeons use advanced surgical techniques, including minimally invasive and laparoscopic approaches, to ensure safe outcomes, faster recovery, and comprehensive physical and emotional care. From diagnosis to recovery, we are committed to delivering high-quality, patient-centred treatment.
What Is Orchiectomy?
Orchiectomy is a surgical procedure involving the removal of one or both testicles, which are responsible for producing sperm and the male hormone testosterone.
Depending on the underlying condition, orchiectomy may be:
Curative (removing cancer)
Preventive (stopping disease spread)
Therapeutic (hormone control or pain relief)
The procedure aims to remove diseased tissue while preserving overall health, hormonal balance, and quality of life whenever possible.
Why Is an Orchiectomy Performed?
Orchiectomy is recommended when medications or less invasive treatments are ineffective, or when urgent surgical intervention is required.
Common Reasons Include:
Testicular Cancer
The most common indication. Removal of the affected testicle prevents cancer spread and allows accurate diagnosis and staging.
Severe Trauma or Injury
In cases where the testicle is irreparably damaged, removal prevents infection and chronic pain.
Testicular Torsion
When blood supply is permanently cut off due to twisting of the spermatic cord, orchiectomy may be necessary to prevent tissue death and infection.
Chronic Infection or Abscess
Persistent infections unresponsive to treatment may require surgical removal.
Hormone-Dependent Cancers
In advanced prostate or male breast cancer, orchiectomy helps reduce testosterone levels to slow tumour growth.
Types of Orchiectomy Performed at Sarkar Hospital
Simple Orchiectomy
Removal of one or both testicles through a scrotal incision, commonly used for non-cancerous conditions or hormone suppression.
Radical Inguinal Orchiectomy
The standard procedure for testicular cancer, performed through a groin incision to prevent cancer spread.
Subcapsular Orchiectomy
Only the inner testicular tissue is removed while preserving the outer covering, mainly to reduce testosterone while maintaining appearance.
Bilateral Orchiectomy
Removal of both testicles, usually for advanced hormone-dependent cancers or specific medical indications.
Each approach is selected based on diagnosis, treatment goals, and patient health.
The Orchiectomy Journey at Sarkar Hospital
Preparation Before Surgery
Blood tests, imaging, and cardiac evaluation
Medication review (especially blood thinners)
Fasting and hygiene instructions
Counselling for emotional readiness and fertility preservation
Lifestyle guidance for faster recovery
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Recovery & Post-Operative Care
Short hospital stay (often 1–2 days)
Pain management and wound care
Early mobilization and light activity
Avoid strenuous activity for a few weeks
Hormone replacement therapy if both testicles are removed
Emotional and psychological support when needed
On the Day of Surgery
Procedure performed under general or regional anaesthesia
Minimally invasive or open approach chosen as appropriate
Careful removal of the affected testicle(s)
Close monitoring in recovery area post-surgery
Risks of Orchiectomy
Orchiectomy is generally safe when performed by experienced surgeons. Possible risks include:
Mild bleeding or infection
Temporary swelling or discomfort
Anaesthesia-related side effects
Reduced testosterone levels
Fertility loss (if both testicles are removed)
Emotional or psychological adjustment challenges
FAQs
If both testicles are removed, testosterone levels drop. Hormone replacement therapy helps maintain normal energy and muscle strength.
Only after bilateral orchiectomy. Removal of one testicle usually does not require hormone therapy.
Yes, a prosthetic testicle can be inserted to maintain natural appearance.
With one testicle, sexual function is usually unaffected. With both removed, hormone therapy helps maintain libido.
Yes. Sperm banking is advised before bilateral orchiectomy.