Removal of part or all of the epididymis

What is this?

Surgical removal of the sperm-carrying mechanism behind the testicle

What alternatives are there?

Conservative treatment, removal of the testicle

What to expect before procedure

You will usually be admitted on the day of your surgery. A pre-clerking appointment will normally be sent to you to assess your general fitness, to screen for the carriage of MRSA and to perform some baseline investigations. After admission, you will be seen by members of the medical team which may include the Consultant, Specialist Registrar, House Officer and your named nurse. You will be asked not to eat or drink for 6 hours before surgery and, immediately before the operation, you may be given a pre-medication by the anaesthetist which will make you dry-mouthed and pleasantly sleepy.

What happens during the procedure?

Normally, a full general anaesthetic will be used and you will be asleep throughout the procedure. In some patients, the anaesthetist may also use an epidural anaesthetic which improves or minimises pain post-operatively. An incision is made in the scrotum so that the epididymis can be removed, whilst carefully preserving the testicle itself and its blood supply

After the procedure

You may experience discomfort for a few days after the procedure but painkillers will be given to you to take home. Absorbable stitches are normally used which do not require removal. The average hospital stay is less than 1 day.

Potential side effects

Common;

Occasional;

Rare;