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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 |
|---|---|---|---|
| Orchiectomy Package | 2500 USD | Economy / Twin Sharing | 2 days in hospital; total stay in India 5-7 days |
| Unilateral Simple Orchiectomy | 2500 USD | Economy | 1-2 days |
| Bilateral Orchidectomy (for prostate cancer) - Economy | 4000 USD | Economy | 2 days |
| Bilateral Orchidectomy - Twin Sharing | 4400 USD | Twin Sharing | 2 days |
| Bilateral Orchidectomy - Single Room | 4850 USD | Single Room | 2 days |
✓ Inclusion
- ✔Consultation with a senior urologist, with counselling on options
- ✔Pre-anaesthesia check-up and basic pre-operative blood tests
- ✔Unilateral simple orchiectomy (bilateral as per chosen package) under spinal or general anaesthesia
- ✔Surgeon, assistant and anaesthetist fees
- ✔Operation theatre charges and standard consumables
- ✔2-day hospital stay in an economy / twin-sharing room with nursing care
- ✔Standard medicines and antibiotics during the stay
- ✔Histopathology of removed tissue
- ✔Scrotal support and dressings
- ✔Meals for the patient as per hospital diet
- ✔One follow-up wound check before departure
- ✔Free: airport pick-up & drop, visa invitation letter, interpreter & coordinator (Satyug Healthcare)
✗ Exclusion
- ✖PSMA PET-CT, bone scan, biopsy and other pre-operative scans
- ✖Scrotal ultrasound and tumour markers if not already done
- ✖Silicone testicular prosthesis
- ✖Room upgrade beyond economy / twin sharing
- ✖Hormone tablets, injections, chemotherapy or radiotherapy
- ✖Extra hospital days and treatment of complications
- ✖Sperm banking
- ✖Hotel/guest house stay, food and local transport
- ✖International flights, visa fees and travel insurance
Know More About Procedure & Surgery
🇮🇳 UROLOGY PACKAGE — INDIA
Orchiectomy (Simple / Bilateral Orchidectomy) in India
Removal of one or both testicles – a one-time hormone treatment for advanced prostate cancer, or for a twisted, infected, injured or non-working testis – by experienced urologists at JCI & NABH hospitals in India, at a fraction of the cost abroad.
✅ Free Medical Opinion in 48–72 h♂️ Subcapsular Option & Prosthesis💰 Starting USD 2,500✈️ Visa & Airport Support🗣️ Interpreter Available
⏱️
30–60 min
Surgery time
🏥
2 days
Hospital stay
📉
90%+
Testosterone drop in 12 h
📅
5–7 days
Total stay in India
📖 What is Orchiectomy?
The testicles (testes) are two glands in the scrotum that make sperm and almost all of the male hormone testosterone. Most prostate cancers need testosterone to grow. In advanced or spread (metastatic) prostate cancer, lowering testosterone – called androgen deprivation therapy – shrinks the cancer, reduces bone pain and slows the disease.
Orchiectomy (also spelled orchidectomy) is surgery to remove one testis (unilateral) or both (bilateral). A bilateral simple or subcapsular orchidectomy lowers testosterone to castrate level within about 12 hours, permanently – a one-time, low-cost alternative to injections every 1–6 months for life. In the subcapsular method only the inner tissue is removed, so the scrotum looks more normal. Unilateral orchiectomy is done for a testis destroyed by torsion, abscess or injury, or a non-working undescended testis. (A suspected testicular cancer is removed through the groin – inguinal orchidectomy – which is a separate package.)
🖼️ Understand It in Pictures
💡 In simple words
Orchiectomy is an operation to remove one or both testicles. It may be done for prostate cancer (to lower testosterone, which feeds the cancer), testicular cancer, or a testicle badly damaged by twisting or injury. A silicone implant can be placed if wished.
Why a testicle may be removed, and after surgery
👀 Symptoms in Pictures
🎬 The Treatment Journey in Pictures
📅 Recovery at a Glance
🩺 Conditions Treated
🎗️
Advanced / metastatic prostate cancer
Bilateral orchidectomy permanently lowers testosterone to control the cancer.
🦴
Prostate cancer with bone pain
Rapid testosterone drop helps relieve bone pain and threatened spinal cord compression.
🌀
Testicular torsion (dead testis)
A twisted testis that has lost its blood supply and cannot be saved.
🦠
Testicular abscess or severe infection
Infection that has destroyed the testis and does not respond to antibiotics.
💥
Severe injury
A testis badly ruptured by trauma that cannot be repaired.
⬇️
Atrophic or undescended testis in adults
A small, non-working testis, removed to avoid pain or cancer risk.
⚠️ Signs That May Need This Surgery
- ➤Advanced prostate cancer on scans
- ➤Rising PSA despite treatment
- ➤Bone pain from prostate cancer
- ➤Cannot afford or attend lifelong injections
- ➤Sudden severe scrotal pain (torsion)
- ➤Swollen, painful testis with pus
- ➤Shrunken or non-working testis
- ➤Undescended testis in an adult
💡 Surgery is not the only way to lower testosterone. Monthly or 3–6 monthly injections (LHRH agonists/antagonists) work equally well and are reversible. Orchidectomy suits men who prefer a one-time, low-cost treatment. A lump inside the testis must be checked with ultrasound and tumour markers – it needs inguinal (not scrotal) surgery.
🔬 Tests Before Treatment
| Test | Why it is done |
|---|---|
| PSA and serum testosterone | Baseline levels to measure response after surgery. |
| Prostate biopsy report | Confirms prostate cancer and its grade (Gleason score). |
| PSMA PET-CT or bone scan | Shows spread of prostate cancer to bones or lymph nodes. |
| Scrotal ultrasound with Doppler | Checks blood flow, abscess or mass in the testis. |
| Tumour markers (AFP, beta-hCG, LDH) | Done if a testicular mass is present. |
| Blood tests, ECG, anaesthesia check | Confirms fitness for spinal or general anaesthesia. |
🏥 The Procedure — Step by Step
1
Consultation and counselling
The urologist explains the options (surgery vs injections) and effects, and you give consent.
2
Admission
Admission on the day of surgery after basic tests and fasting.
3
Anaesthesia
Spinal, general or sometimes local anaesthesia is given.
4
Scrotal incision
A small cut is made in the middle or side of the scrotum.
5
Cord ligation
The spermatic cord (blood vessels and tube) is tied securely.
6
Removal
The whole testis (simple) or only its inner tissue (subcapsular) is removed.
7
Prosthesis (optional)
A silicone testicular implant can be placed for appearance (extra cost).
8
Closure
The cut is closed with dissolvable stitches and a scrotal support is applied.
9
Recovery
Walking the same day; ice packs and painkillers for comfort.
10
Discharge
Discharge after about 2 days with a follow-up PSA/testosterone plan.
⚖️ Types & Techniques
| Technique | What is done | Best for |
|---|---|---|
| Simple orchiectomy | Whole testis removed through a scrotal cut | Torsion, infection, trauma, prostate cancer |
| Bilateral subcapsular orchidectomy | Inner tissue removed, outer capsule left | Prostate cancer – keeps a more natural scrotum |
| Inguinal (radical) orchidectomy | Testis and cord removed through the groin | Suspected testicular cancer (separate package) |
| Orchiectomy with prosthesis | Silicone implant placed at the same time | Men wishing to keep a normal appearance |
📊 Bilateral orchidectomy reduces serum testosterone to castrate levels (below 50 ng/dL) within about 12 hours, and EAU prostate cancer guidelines accept it as equally effective to LHRH drug therapy for androgen deprivation.
📅 Your Day-by-Day Plan in India
| Day | What happens |
|---|---|
| Day 1 | Arrival in India, airport pick-up, hotel check-in |
| Day 2 | Urologist consultation, blood tests, PSA/testosterone, ultrasound |
| Day 3 | Admission and orchiectomy (hospital day 1) |
| Day 4 | Recovery and discharge (hospital day 2) |
| Day 5–6 | Rest at hotel, wound check, PSA/oncology plan |
| Day 7 | Fly home ✈️ |
🌱 Recovery After Treatment
🛏️
Day 1–2
Mild scrotal pain and swelling; ice packs, painkillers and scrotal support.
🏨
Week 1
Short walks; keep the wound clean and dry; shower after 48 hours.
💼
Week 1–2
Return to desk work and normal daily activity.
🏋️
Week 3–4
Return to heavy lifting, cycling and sport.
🔥
Weeks to months
After bilateral surgery: hot flushes, low libido and tiredness may occur; exercise and medicines help.
🩸
Every 3–6 months
PSA and testosterone checks; bone density and calcium/vitamin D advice.
🏆 Success Rate
| Outcome | Result |
|---|---|
| Testosterone at castrate level after bilateral surgery | About 95–100%, within 12 hours |
| PSA response in hormone-sensitive prostate cancer | About 80–90% of patients |
| Bone pain relief (metastatic prostate cancer) | Most patients within days to weeks |
| Wound complications | About 1–5% |
In prostate cancer, the length of response depends on the stage, PSA level and whether newer hormone tablets, chemotherapy or radiotherapy are added. Orchidectomy controls testosterone permanently but does not cure spread cancer by itself.
🩹 Risks & Possible Complications
Like any medical procedure, this treatment carries some risks. Your specialist will explain them in detail before treatment:
- •Scrotal swelling and bruising – common, settles in 1–2 weeks
- •Scrotal haematoma (blood collection) – about 1–5%
- •Wound infection – about 1–3%
- •After bilateral surgery: hot flushes – up to 50–80%
- •Low libido and erectile problems – very common after bilateral surgery
- •Long-term: bone thinning, weight gain, muscle loss, mood change
- •Permanent infertility after bilateral surgery (sperm banking can be discussed beforehand)
💰 Cost of Orchiectomy in India
The cost of orchiectomy in India starts from about USD 2,500 for a unilateral simple orchiectomy in an economy/twin-sharing room. Bilateral orchidectomy for prostate cancer starts from about USD 4,000. Packages include the surgeon and anaesthesia fees, operation theatre, standard medicines and a 2-day hospital stay.
| Option / Hospital tier | Approx. cost (USD) | Hospital stay | Notes |
|---|---|---|---|
| Unilateral simple orchiectomy – this package (Economy / Twin sharing) | 2,500 | 1–2 days | Torsion, infection, atrophic testis |
| Bilateral orchidectomy (prostate cancer) – Economy | 4,000 | 2 days | Simple or subcapsular |
| Bilateral orchidectomy – Twin sharing | 4,400 | 2 days | Shared room with one other patient |
| Bilateral orchidectomy – Single room | 4,850 | 2 days | Private room; attendant can stay |
| Add-on: silicone testicular prosthesis | 400 – 800 (each) | No change | Optional, for appearance |
⚠️ Final cost depends on the hospital, room category, doctor, number of devices used (e.g. prosthesis) and the patient's medical condition. Quotes are confirmed after the urologist examines the patient in India.
📋 What the Package Includes
✅ Included
- ✔Urologist's surgical fee
- ✔Anaesthesia and OT charges
- ✔2-day hospital stay
- ✔Standard medicines and consumables
- ✔Nursing and patient meals
- ✔Histopathology of removed tissue
- ✔Follow-up visit before departure
- ✔Airport pick-up, visa letter & interpreter
❌ Not Included
- ✖PSMA PET-CT / bone scan
- ✖Pre-op ultrasound and tumour markers
- ✖Testicular prosthesis
- ✖Room upgrade
- ✖Hormone tablets / chemotherapy
- ✖Extra hospital days
- ✖Hotel stay and local travel
- ✖Flights and visa fees
✈️ Your Medical Travel Process with Satyug Healthcare
| Step | Details |
|---|---|
| 1. Send reports | For prostate cancer: PSA reports, prostate biopsy, PSMA PET-CT or bone scan, and current hormone treatment. For other causes: scrotal ultrasound with Doppler, and tumour markers if a lump is present. |
| 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 PSA, biopsy, PET-CT/bone scan and ultrasound reports, scans on CD / link 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 uro-oncology centres such as Medanta Gurugram, Max Saket, Fortis Gurugram, BLK-Max, Artemis, Apollo, Manipal, Rajiv Gandhi Cancer Institute and Kokilaben.
👨⚕️
Senior Specialists
Senior urologists and uro-oncologists experienced in prostate cancer hormone therapy and scrotal surgery.
💵
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 orchiectomy in India?
Unilateral simple orchiectomy starts from about USD 2,500. Bilateral orchidectomy for prostate cancer costs about USD 4,000–4,850 depending on the room.
➤ Why is orchidectomy used for prostate cancer?
Prostate cancer grows with testosterone. Removing both testes lowers testosterone permanently, which shrinks the cancer and relieves symptoms.
➤ Is surgery better than hormone injections?
Both work equally well. Surgery is a one-time, low-cost and permanent option; injections are reversible but needed every 1–6 months for life.
➤ How long is the hospital stay?
Usually about 2 days.
➤ How long should I stay in India?
About 5–7 days, including tests, surgery and a wound check before flying home.
➤ Is the operation painful?
It is done under anaesthesia. Afterwards there is mild pain and swelling for a few days, controlled with tablets and ice packs.
➤ Will my scrotum look different?
After subcapsular surgery or with a silicone prosthesis, the scrotum looks more natural. Without these, it will look empty on the operated side.
➤ What are the side effects of bilateral orchidectomy?
Hot flushes, low sex drive, erectile problems, tiredness, weight gain and bone thinning, as with any testosterone-lowering treatment. Exercise, calcium/vitamin D and medicines help.
➤ Can I still have children?
Not after both testes are removed. Sperm can be stored before surgery if fertility is important. Removing one testis usually does not affect fertility.
➤ When can I return to work?
Desk work after about 1–2 weeks; heavy work after 3–4 weeks.
➤ Is this surgery done for testicular cancer?
No. A suspected testicular cancer is removed through the groin (inguinal orchidectomy), not the scrotum. Ask us about our separate package.
➤ Can a family member come with me?
Yes. One or two attendants can travel on a medical attendant visa. We send the visa invitation letter.
➤ What follow-up is needed at home?
PSA and testosterone tests every 3–6 months for prostate cancer, and bone health checks. Our team stays in touch with your local urologist or oncologist.
➤ Is an interpreter available?
Yes. Satyug Healthcare provides free Arabic, French and Portuguese interpreters (plus English) and a coordinator for the whole stay.
💬 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: NCBI StatPearls: Orchiectomy; EAU-EANM-ESTRO-ESUR-ISUP-SIOG Guidelines on Prostate Cancer (2024); NCCN Guidelines: Prostate Cancer; Mayo Clinic – Orchiectomy; Cancer Research UK – Hormone therapy (orchidectomy); NHS – Testicular torsion. Infographics: Satyug Healthcare.
Frequently Asked Questions
The cost of orchiectomy in India starts from USD 2500. Unilateral Simple Orchiectomy: USD 2500; Bilateral Orchidectomy (for prostate cancer) - Economy: USD 4000; Bilateral Orchidectomy - Twin Sharing: USD 4400; Bilateral Orchidectomy - Single Room: USD 4850. The final cost depends on the hospital, room category and medical condition.
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Orchiectomy in India from USD 2,500. Simple & bilateral orchidectomy for prostate cancer, torsion or infection, 2-day stay at JCI/NABH hospitals, free opinion.
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