What is an Epididymectomy?

An epididymectomy is a surgical procedure that removes the epididymis, an essential part of the male reproductive system, usually due to long-term inflammation.

Epididymectomy is a surgical procedure to remove the epididymis, which is an essential part of the male reproductive system. The epididymis is a structure located within the scrotum, which is attached to the back of the testicle and is connected to the vas deferens, which in turn is connected to the urethra. The epididymis is important in the storage, maturation and transport of sperm. An epididymectomy is usually indicated for the treatment of chronic epididymitis, or long-term inflammation of the epididymis, and for men with complex epididymal cystic disease.

Epididymectomy is a surgical procedure to remove the epididymis.

Symptoms of epididymitis include pain on one or both sides of the scrotum, usually lasting three months or more. Pain in the scrotum often interferes with the performance of activities of daily living. Chronic epididymitis is usually associated with bacterial infections, obstruction of the vas deferens, lower urinary tract abnormalities at birth or as an occurrence after a vasectomy, which is a surgical procedure performed by cutting or ligating the vas deferens. Broad-spectrum antibiotics are often given to patients with chronic epididymitis. The presence of pus or abscess in the scrotum, however, usually requires surgery to protect the testicles from further inflammation.

The epididymis is located inside the scrotum and is attached to the back of the testicle.

Doctors specializing in the field of urology are commonly responsible for the diagnosis, treatment and management of conditions that affect the male reproductive system. These healthcare providers also often perform epididymectomy surgeries to relieve pain symptoms experienced by patients with chronic epididymitis and other associated conditions. This surgery is often a last resort after many conservative treatments such as antibiotics and pain relievers have been tried.

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Burning urination can occur after an epididymectomy.

There are many variations in the technique, and which one the surgeon chooses often depends on the patient’s condition. The medical procedure is usually done under local anesthesia. A transverse incision is usually made in the scrotum, large enough for the urologist to see the vas deferens, testes, and epididymis, and to allow surgical removal of the epididymis and drainage of pus into the scrotum. After the procedure, patients are usually sent home with medications and general instructions on proper care.

An epididymectomy is usually done under local anesthesia.

Burns and blood when urinating may occur after surgery, but they usually disappear within three days. Other complications can include skin infection, chronic pain, and infertility. Atrophy or reduction in the size of the testes can also occur if the spermatic cord is injured during the dissection process.

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