Epididymotomy Package
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Written & reviewed by Vikram Kashyap, Medical Consultant, Satyug Healthcare
·Last updated: ·Editorial policy
See the cost breakdown by option, hospital and city →
| Surgery Name | Cost | Room | Hospitalization |
|---|---|---|---|
| Epididymotomy Package | 1200 USD | Twin Sharing / Day-care | Day-care to 1 day in hospital; total stay in India about 5 days |
| Epididymotomy (drainage of epididymal abscess / exploration) | 1200 USD | Twin Sharing | 1 day |
| Microsurgical Epididymal Exploration / Vasoepididymostomy | 3500 USD | Twin Sharing | 1-2 days |
✓ Inclusion
- ✔Consultation with senior urologist / andrologist
- ✔Routine pre-operative blood tests
- ✔Surgeon, assistant and anaesthetist fees
- ✔Operation theatre charges
- ✔Epididymotomy – drainage of epididymal abscess or epididymal exploration
- ✔Day-care or 1 day stay in a twin-sharing room
- ✔Routine medicines, IV antibiotics and consumables during stay
- ✔Nursing care and meals for the patient
- ✔Scrotal support and first dressing
- ✔One wound review visit
- ✔Free: airport pick-up & drop, visa invitation letter, interpreter & coordinator (Satyug Healthcare)
✗ Exclusion
- ✖Scrotal ultrasound and other imaging (if not in quote)
- ✖Pus culture, TB tests (GeneXpert) and histopathology
- ✖Microsurgical vasoepididymostomy, epididymectomy or sperm retrieval
- ✖Extra hospital days or room upgrade
- ✖Treatment of diabetes or other illnesses
- ✖Antibiotics and medicines after discharge
- ✖Semen analysis and fertility tests
- ✖Hotel stay, food and local travel
- ✖Flights, visa fees and travel insurance
Know More About Procedure & Surgery
🇮🇳 UROLOGY PACKAGE — INDIA
Epididymotomy Surgery in India
Surgery to drain an epididymal abscess that does not respond to antibiotics, or to explore the epididymis in men with blocked sperm flow, done by experienced urologists and andrologists at accredited Indian hospitals.
✅ Free Medical Opinion in 48–72 h🔬 Microsurgical Andrology Option💰 Starting USD 1,200✈️ Visa & Airport Support🗣️ Interpreter Available
⏱️
30–60 min
Surgery time
🏥
0–1 day
Hospital stay (day-care)
📈
90%+
Abscess cured
📅
About 5 days
Total stay in India
📖 What is Epididymotomy?
The epididymis is a coiled tube that lies along the back of each testis. It stores sperm and carries them to the vas deferens. Infection of the epididymis (epididymitis), often from urinary or sexually transmitted infections, causes painful swelling of the scrotum. Most cases settle with antibiotics, but sometimes pus collects and forms an abscess. The epididymis can also become blocked after infection, injury or tuberculosis, stopping sperm from reaching the semen and causing infertility (obstructive azoospermia).
Epididymotomy means making a surgical cut into the epididymis. It is done through a small cut in the scrotum, under anaesthesia, to drain pus from an abscess, to remove dead tissue, or to explore the epididymis and find the site of blockage. In men with blocked sperm flow, it may be combined with microsurgical vasoepididymostomy (joining the vas to the epididymis above the block) or sperm retrieval for IVF/ICSI.
🖼️ Understand It in Pictures
💡 In simple words
The epididymis is a coiled tube behind each testicle that stores sperm. A severe infection (epididymitis) can make it swollen and full of pus. Epididymotomy is a small operation that opens the epididymis to release pus and pressure when antibiotics alone are not enough.
Infected epididymis and after epididymotomy
👀 Symptoms in Pictures
🎬 The Treatment Journey in Pictures
📅 Recovery at a Glance
🩺 Conditions Treated
🦠
Epididymal abscess
Pus collection in the epididymis not improving with antibiotics.
🔥
Severe epididymo-orchitis
Infection of the epididymis and testis with a collection or dead tissue.
🫁
Tuberculous epididymitis
TB infection with abscess or discharging sinus needing drainage along with TB medicines.
🚧
Epididymal obstruction
Blockage causing no sperm in the semen (obstructive azoospermia).
🔗
Failed vasectomy reversal / post-infection block
Block in the epididymis needing exploration and microsurgical bypass.
❓
Unclear scrotal swelling
Exploration when scans cannot rule out an abscess or other problem.
⚠️ Symptoms That May Need Epididymotomy
- ➤Painful, swollen scrotum
- ➤Fever and chills
- ➤Redness or warmth of scrotal skin
- ➤Swelling not better after antibiotics
- ➤Pus or discharge from scrotal skin
- ➤Hard lump behind the testis
- ➤Pain on urination or urethral discharge
- ➤No sperm in semen (azoospermia)
💡 Most epididymitis heals with antibiotics alone. Rest, scrotal support, painkillers and a 10–14 day antibiotic course cure the large majority. Surgery is advised only when an abscess forms, symptoms do not improve after 48–72 hours of proper treatment, or for fertility work-up of a blocked epididymis. Sudden severe testicular pain in young men needs urgent assessment to rule out testicular torsion.
🔬 Tests Before Treatment
| Test | Why it is done |
|---|---|
| Scrotal ultrasound with Doppler | The key test – shows an abscess, blood flow and rules out torsion or tumour. |
| Urine routine and culture | Finds the germ and guides antibiotics. |
| Urethral swab / STI tests | Checks for chlamydia and gonorrhoea in younger men. |
| Blood count, CRP, blood sugar | Measures infection severity and checks for diabetes. |
| Semen analysis and hormones (fertility cases) | Confirms obstructive azoospermia and normal sperm production. |
| TB tests (if suspected) | Urine for TB, chest X-ray in long-standing or discharging cases. |
🏥 The Procedure — Step by Step
1
Consultation
The urologist examines you and reviews your scan and urine reports.
2
Tests
Ultrasound, urine and blood tests are completed or repeated.
3
Admission
Day-care or 1-day admission in a twin-sharing room after fasting.
4
Anaesthesia
Spinal or short general anaesthesia.
5
Scrotal incision
A small cut is made in the scrotal skin over the swelling.
6
Drainage or exploration
The epididymis is opened, pus is drained and dead tissue removed; or the tube is explored for blockage.
7
Samples sent
Pus or tissue is sent for culture, TB tests and biopsy.
8
Washout and drain
The cavity is washed and a small drain or pack may be left.
9
Closure
The skin is closed with dissolvable stitches and a scrotal support is applied.
10
Discharge
Same day or next day with antibiotics and dressing instructions.
⚖️ Types & Techniques
| Technique | What is done | Best for |
|---|---|---|
| Epididymotomy with abscess drainage | Epididymis opened and pus drained. | Epididymal abscess |
| Diagnostic exploration | Epididymis and testis inspected through scrotal cut. | Unclear swelling or obstruction |
| Microsurgical vasoepididymostomy | Vas joined to epididymis above the block under microscope. | Obstructive azoospermia, failed vasectomy reversal |
| Epididymectomy | Part or all of the epididymis removed. | Chronic pain, recurrent infection, TB |
| Sperm retrieval (MESA / PESA) | Sperm taken from epididymis for IVF/ICSI. | Blockage not suitable for reconstruction |
📊 EAU guidelines on urological infections advise antibiotics as first treatment for epididymitis and surgical drainage when an abscess forms; after microsurgical vasoepididymostomy, sperm returns to the semen in roughly 50–80% of men in published series.
📅 Your Day-by-Day Plan in India
| Day | What happens |
|---|---|
| Day 1 | Arrival in India, airport pick-up and hotel check-in |
| Day 2 | Urologist consultation, ultrasound and tests; surgery the same day or next (day-care to 1 day stay) |
| Day 3 | Discharge, rest at hotel with antibiotics |
| Day 4 | Wound check and dressing change |
| Day 5 | Culture report review, fit-to-fly and fly home ✈️ |
🌱 Recovery After Treatment
🛏️
Day 1–2
Rest, scrotal support, ice packs and painkillers; antibiotics continued.
🩹
Day 2–7
Daily dressing if a pack or drain was left; mild discharge is normal.
🚿
Week 1
Showers allowed; avoid tub baths and swimming until healed.
💼
Week 1–2
Return to office work; avoid heavy lifting and cycling.
💞
Week 2–3
Sexual activity once healed and comfortable.
🔬
Month 3–6
After reconstruction, semen tests every 2–3 months to check sperm return.
🏆 Success Rate
| Outcome | Result |
|---|---|
| Abscess cured after drainage | About 90%+ |
| Need for repeat drainage or epididymectomy | About 5–10% |
| Sperm return after vasoepididymostomy | About 50–80% |
| Natural pregnancy after vasoepididymostomy | About 30–40% |
Results depend on the cause, the germ and its antibiotic sensitivity, diabetes control, and for fertility surgery the site of blockage and the surgeon's microsurgical skill.
🩹 Risks & Possible Complications
Epididymotomy is a minor to moderate operation with low risk.
- •Scrotal swelling and bruising (common, temporary)
- •Wound infection or slow healing
- •Blood collection in the scrotum (haematoma, about 1–3%)
- •Ongoing or chronic scrotal pain (uncommon)
- •Blockage of sperm flow on that side, affecting fertility
- •Shrinking of the testis (rare, mostly from severe infection)
💰 Cost of Epididymotomy in India
The cost of epididymotomy in India starts from about USD 1,200 for drainage of an epididymal abscess or exploration, as day-care or with 1 day in a twin-sharing room. Microsurgical exploration with vasoepididymostomy costs about USD 3,500. The price covers the urologist, anaesthesia, theatre and routine medicines during stay.
| Option / Hospital tier | Approx. cost (USD) | Hospital stay | Notes |
|---|---|---|---|
| Epididymotomy (drainage of epididymal abscess / exploration) – this package | 1,200 | Day-care to 1 day, twin sharing | Abscess drainage or simple exploration |
| Microsurgical Epididymal Exploration / Vasoepididymostomy | 3,500 | 1–2 days, twin sharing | Fertility surgery under microscope |
| Epididymectomy | 1,500 – 2,200 | 1 day | Removal of part or all of epididymis |
| Sperm retrieval (PESA / MESA) for IVF | 800 – 1,500 | Day-care | If reconstruction is not suitable |
⚠️ Final cost depends on the operation needed, culture and TB tests, length of antibiotics and room category. Quotes are confirmed after the specialist examines the patient in India.
📋 What the Package Includes
✅ Included
- ✔Urologist consultation
- ✔Surgeon and anaesthesia fees
- ✔Operation theatre charges
- ✔Day-care or 1 day in twin sharing
- ✔Routine medicines and antibiotics during stay
- ✔Nursing care and patient meals
- ✔One wound review
❌ Not Included
- ✖Ultrasound and lab tests (if not quoted)
- ✖Culture, TB and biopsy tests
- ✖Microsurgical reconstruction
- ✖Extra hospital days
- ✖Antibiotics after discharge
- ✖Hotel stay and flights
- ✖Semen analysis follow-up
✈️ Your Medical Travel Process with Satyug Healthcare
| Step | Details |
|---|---|
| 1. Send reports | Scrotal ultrasound with Doppler report, urine routine and culture, blood count and sugar, details of antibiotics already taken, and for fertility cases semen analysis, FSH / testosterone and any previous scrotal or vasectomy surgery notes |
| 2. Free opinion & quotes | Within 48-72 hours you receive opinions and cost estimates from 3-5 leading hospitals to compare. |
| 3. Choose hospital & doctor | We help you compare doctors, success rates, room options and total budget. |
| 4. Medical visa | The hospital issues a Visa Invitation Letter (VIL) to the Indian Embassy. The patient and up to 2 attendants apply for an e-Medical / Medical Attendant visa. |
| 5. Travel planning | Flight guidance, wheelchair assistance, airport pick-up, hotel or guest house near the hospital. |
| 6. Treatment in India | Your coordinator and interpreter stay with you for admission, treatment, discharge and billing. |
| 7. Return & follow-up | Fit-to-fly letter, medicines, and online follow-up with your doctor after you return home. |
🎒 Travel Checklist
- 📌Valid passport (6+ months) for the patient and attendants, plus 10 passport-size photos each
- 📌Medical visa / e-visa and the hospital’s Visa Invitation Letter
- 📌All scrotal ultrasound, urine culture, semen analysis and hormone reports, and prescriptions
- 📌Yellow fever vaccination certificate (mandatory for travellers from African countries)
- 📌Polio vaccination certificate where applicable
- 📌Declare cash above USD 5,000 at the airport; hospitals accept wire transfer and cards
- 📌Foreigners staying longer than permitted must register with the FRRO — our team assists
⭐ Why Choose Satyug Healthcare?
🏥
Top Accredited Hospitals
Leading urology and andrology centres such as Medanta (Gurugram), Max Saket, Fortis Gurugram, Sir Ganga Ram Hospital, Apollo, Artemis, BLK-Max and Manipal, with microsurgical andrology facilities
👨⚕️
Senior Specialists
Surgery is done by senior urologists and andrologists experienced in scrotal surgery and male-infertility microsurgery.
💵
Transparent Pricing
Multiple written quotes to compare — no hidden charges, no extra fee for our service.
🤝
End-to-End Support
Visa, airport pick-up, accommodation, interpreter and 24/7 coordinator.
❓ Frequently Asked Questions
➤ What is the cost of epididymotomy in India?
Drainage of an epididymal abscess or exploration starts from about USD 1,200. Microsurgical exploration with vasoepididymostomy for infertility costs about USD 3,500.
➤ Do I really need surgery for epididymitis?
Usually not. Most cases heal with antibiotics and rest. Surgery is needed if an abscess forms or swelling does not improve after proper antibiotics.
➤ How long does the surgery take?
About 30–60 minutes for drainage, and 2–3 hours for microsurgical reconstruction.
➤ How long will I stay in hospital and in India?
Hospital stay is day-care to 1 day. We advise about 5 days in India in total for tests, surgery and a wound check.
➤ Is it painful?
You are under anaesthesia during surgery. Afterwards there is soreness for a few days, eased with painkillers, ice and a scrotal support.
➤ Will this affect my fertility?
Drainage on one side usually does not affect fertility if the other side is healthy. Severe infection can block that side. If both sides are blocked, microsurgery or sperm retrieval for IVF can help.
➤ What is the success rate?
Abscess drainage cures the infection in over 90% of cases. After vasoepididymostomy, sperm returns in about 50–80% of men.
➤ When can I return to work?
Office work usually after 3–7 days. Avoid heavy lifting for 2 weeks.
➤ What are the risks?
Swelling, bruising, wound infection and haematoma are the most common. Chronic pain and testicular shrinkage are rare.
➤ Can tuberculosis cause this?
Yes. In some regions TB is a common cause of long-lasting or discharging scrotal swelling. Samples are tested for TB and a 6-month TB treatment is given if found.
➤ Should my partner be treated?
If a sexually transmitted infection is found, your partner should also be tested and treated to prevent re-infection.
➤ What follow-up is needed at home?
Finish your antibiotics and have a check-up after 2 weeks. After fertility surgery, semen tests are done every 2–3 months; our team reviews reports online.
➤ Is my treatment confidential?
Yes. All consultations and records are private. We arrange male coordinators on request.
➤ Is an interpreter available?
Yes. Satyug provides a free interpreter in Arabic, French or Portuguese (plus English) and a coordinator.
💬 Get a Free Opinion & Cost Estimate
Send your medical reports today and receive opinions from India’s top specialists within 48-72 hours.
📞 +91-8860606766 | +91-9910655125 | ✉️ query@satyughealthcare.com
Medical disclaimer: This page is for general information and does not replace a consultation with a qualified specialist. Treatment plans and costs are confirmed only after the patient is examined. Sources: EAU Guidelines on Urological Infections (2024) and Sexual & Reproductive Health (male infertility); AUA/ASRM Guideline on Male Infertility (2020); NCBI StatPearls: Epididymitis, Scrotal Abscess, Vasoepididymostomy; NHS: Epididymitis; Mayo Clinic: Epididymitis; Cleveland Clinic: Epididymitis. Infographics: Satyug Healthcare.
Frequently Asked Questions
The cost of epididymotomy in India starts from USD 1200. Epididymotomy (drainage of epididymal abscess / exploration): USD 1200; Microsurgical Epididymal Exploration / Vasoepididymostomy: USD 3500. The final cost depends on the hospital, room category and medical condition.
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Epididymotomy in India from USD 1,200: day-care drainage of epididymal abscess or exploration by expert urologists. Microsurgery option. Free opinion in 48 h.
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