Operations and procedures

Removal of the testicle or epididymis

Removal of the testicle or epididymis is a urological surgical procedure aimed at removing a diseased testicle (orchiectomy) or epididymis (epididymectomy), or part of it. The procedure may also include removal of an epididymal cyst (epididymal cyst excision). An epididymal cyst is a fluid-filled formation located in the epididymis, a structure responsible for the storage and transport of sperm. In most cases, cysts are benign and asymptomatic, but surgery may become necessary if they enlarge or cause discomfort.

Indications

Surgery is indicated in the following cases:

  • large or painful epididymal cyst
  • chronic pain in the testicle or epididymis
  • recurrent inflammation (e.g., epididymitis)
  • tumors
  • damage caused by trauma
  • cosmetic or functional disturbance

Surgery is primarily considered when conservative treatment does not provide sufficient results or when symptoms significantly impair quality of life.

Surgery

The surgery is performed under local or general anesthesia. A small incision is made in the scrotum, through which the cyst, epididymis, or, if necessary, the entire testicle is removed. The surgery is usually performed on an outpatient basis, meaning the patient can return home on the same day. After surgery, temporary swelling, pain, and discomfort may occur, usually resolving within a few days. Physical activity is recommended to be limited for approximately 1–2 weeks, and most patients return to their normal daily routine during this period.
As with any surgical procedure, certain risks are associated with this surgery:

  • bruising or swelling
  • wound infection
  • chronic pain
  • recurrence of the cyst
  • reduced fertility (especially after removal of the epididymis)

The prognosis is good for most patients, and symptoms usually resolve after surgery.

More information on wound care and at-home treatment is available HERE.

Locations

Confido Medical Centre
Veerenni 51, Tallinn
Confido Tartu Raatuse Clinic
Raatuse 21, Tartu

Price

Service
Price
Duration up to
Urologist’s appointment
150 €
30 min
Urologist’s appointment (Tartu)
130 €
30 min
Removal of the testicle or epididymis
from 1350 €

We have several payment options. Read more HERE.

BOOKING

Book in self-service
Service:

Removal of the testicle or epididymis