Radical inguinal orchiectomy is a surgical procedure in which a testicle and the attached spermatic cord are removed. This operation is most commonly performed as part of the treatment for testicular cancer and often represents the first step in definitive management.

At Urology SA, Dr Jehan Titus and Dr Jimmy Lam are highly experienced in the management of male genitourinary cancers. We work closely with medical and radiation oncologists to ensure every patient receives comprehensive, multidisciplinary care tailored to their needs.

Who Is This Procedure Suitable For?

Radical inguinal orchiectomy may be recommended for patients who:

  • Have been diagnosed with testicular cancer
  • Have discovered a suspicious lump in the testicle and further investigation suggests testicular cancer

Benefits of Radical Orchiectomy

  • Removal of the spermatic cord along with the testicle helps reduce the risk of cancer spread
  • For early-stage testicular cancer, this surgery may be curative and the only treatment required
  • The procedure is generally safe, with most patients recovering quickly

How the Procedure Is Performed

  • Surgery is performed under general anaesthetic and typically takes around one hour
  • A small incision is made just above the pubic area on the affected side
  • The testicle and spermatic cord are carefully removed through this incision
  • The wound is closed with dissolving stitches

Testicular Prosthesis (Optional)

You may choose to have a testicular prosthesis (implant) placed at the time of surgery. This is a personal decision and can be discussed with your surgeon. While prostheses provide a more natural appearance, they may slightly increase the risk of infection or other complications.

What to Expect After Surgery

  • Bruising, swelling, and tenderness of the scrotum is common and may last for 2–4 weeks
  • A haematoma (collection of blood) can occur in the scrotum — supportive underwear or compression garments can help minimise this
  • Strenuous activity and heavy lifting should be avoided for at least 4 weeks to reduce the risk of developing an inguinal hernia
  • Most patients are able to resume light activity within a few days

Procedure Outcomes

  • Testicular cancer is highly curable, especially when detected early
  • For early-stage cancer, radical inguinal orchiectomy may be the only treatment needed
  • In later stages, chemotherapy or radiotherapy may be required, and your care will be coordinated with a medical oncologist

Impact on Sexual Function and Fertility

  • If the remaining testicle is healthy, most men retain normal testosterone levels, and their ability to have erections, sex, and father children is unaffected
  • If chemotherapy is planned, you may be referred for sperm banking to preserve fertility