Testicular surgery refers to a group of procedures performed to diagnose or treat conditions affecting the testicles and surrounding structures. These operations may be recommended for a variety of reasons, including testicular lumps or cancer, chronic pain, infection, trauma, undescended testicles, hydroceles, varicoceles, or testicular torsion.

Most testicular procedures are performed under a general anaesthetic through a small incision in the groin or scrotum. The exact approach depends on the underlying condition and the type of surgery required. In cases of suspected testicular cancer, the testicle is removed through a groin incision (orchidectomy) to allow accurate diagnosis and prevent cancer spread. Other procedures may involve repairing, draining, or removing fluid-filled sacs, correcting abnormal veins, or addressing structural problems.

The majority of testicular surgeries are safe and well tolerated. Many are performed as day procedures, allowing patients to return home the same day. Recovery is usually straightforward, with temporary swelling or discomfort that improves over time.

Dr. Farag will discuss the indication for surgery, the procedure itself, potential risks, and expected recovery to ensure you are fully informed and comfortable with your treatment plan.

Testicular Surgery

Learn more about Testicular Pathology

  • Before testicular surgery, you will undergo a number of assessments to ensure the procedure can be performed safely.

    This usually includes blood and urine tests, and sometimes an ultrasound of the scrotum to confirm the diagnosis.

    If cancer is suspected, additional blood tests (tumour markers) and imaging scans may be arranged. You may also have a pre-admission assessment to review your general health, medications, and fitness for anaesthesia.

  • Testicular surgery is usually performed under a general anaesthetic.

    Most procedures are done as a day case, meaning you can return home the same day.

    The surgery is performed through a small incision in the groin or scrotum, depending on the indication.

    The operation typically takes between 30–90 minutes. After surgery, you will be monitored in recovery before being transferred to the ward, where pain control and mobility will be assessed prior to discharge.

  • Most patients experience mild to moderate discomfort, swelling, or bruising for several days after surgery. Supportive underwear is recommended to reduce swelling and improve comfort.

    Light activities can usually be resumed within a few days, but strenuous exercise, heavy lifting, and sexual activity should be avoided for 2–4 weeks.

    Full recovery varies depending on the type of procedure but is generally achieved within a few weeks.

  • Testicular surgery is generally safe, but potential risks include:

    • Pain, swelling, or bruising of the scrotum

    • Infection or delayed wound healing

    • Bleeding or haematoma formation

    • Damage to surrounding structures (rare)

    • Changes in fertility or hormone levels, depending on the procedure

    • Loss of the testicle (in procedures where removal is required)

    Dr.Farag will discuss procedure-specific risks with you prior to surgery.

  • A follow-up appointment is usually arranged within 1–2 weeks after surgery to assess wound healing and review results.

    If surgery was performed for cancer, ongoing follow-up will include blood tests, imaging, and regular surveillance appointments.

    Dr. Farag will provide personalised advice regarding long-term monitoring, fertility considerations, and lifestyle recommendations.

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