Orchiectomy (Simple / Bilateral Orchidectomy) in India

Orchiectomy (orchidectomy) is the surgical removal of one or both testicles. A bilateral (both-sided) simple or subcapsular orchidectomy is a well-established, one-time treatment for advanced prostate cancer, as it stops testosterone production. Unilateral orchiectomy is done for a damaged, twisted, infected or non-functioning testis. (Removal for suspected testicular cancer is done by the inguinal route - see our Inguinal Orchidectomy package.)

Cost of orchiectomy in India starts from USD 2500 at leading JCI / NABH accredited hospitals. 2 days in hospital; total stay in india 5-7 days.

Final cost depends on the hospital, room category, doctor, number of devices used and the patient's medical condition. Share your reports with Satyug Healthcare for a free written estimate.

About the Procedure

• Simple orchiectomy is done through a small incision in the scrotum under spinal or general anaesthesia.
• In subcapsular orchiectomy, the inner tissue of the testis is removed but the outer capsule is left, so the scrotum looks more normal.
• A silicone testicular prosthesis can be placed for cosmetic reasons if desired (charged extra).
• The operation takes about 30-60 minutes and most patients go home in 1-2 days.

Purpose of the Procedure

• Reduce testosterone in advanced or metastatic prostate cancer (surgical castration) - a one-time, cost-effective alternative to lifelong hormone injections
• Remove a testis destroyed by torsion, severe infection, abscess or trauma
• Remove an atrophic or non-functioning undescended testis in adults
• Part of gender-affirming surgery in selected cases

Diagnosis and Tests Before the Procedure

• PSA, bone scan / PSMA PET-CT and biopsy reports in prostate cancer
• Scrotal ultrasound with Doppler
• Testosterone level
• Blood tests, ECG and pre-anaesthesia evaluation
• Tumour markers (AFP, beta-HCG, LDH) if a testicular mass is present

Step-by-Step Procedure

1. Urology consultation, counselling and consent
2. Spinal or general anaesthesia
3. Small scrotal (or inguinal, if indicated) incision
4. Ligation of the spermatic cord and removal of the testis or testicular tissue
5. Optional testicular prosthesis placement
6. Closure with absorbable stitches; discharge in 1-2 days

Risks and Possible Complications

• Scrotal bleeding or haematoma
• Wound infection
• After bilateral orchiectomy: hot flushes, reduced libido, erectile dysfunction, bone thinning and weight gain (effects of low testosterone)
• Emotional impact - counselling is available
• Chronic pain (rare)

Your specialist will explain the risks specific to your condition. Choosing an experienced, high-volume hospital keeps complication rates very low.

Recovery and Aftercare

• Discharge in 1-2 days
• Scrotal support and pain medicines for a few days
• Light activity in a week, normal activity in 2-3 weeks
• For prostate cancer: PSA monitoring, calcium/vitamin D and bone health care
• Fit to fly in about 5-7 days

Why Choose India for Orchiectomy?

• JCI and NABH accredited hospitals with the latest cath labs and imaging technology
• Highly experienced specialists, many trained in the USA, UK and Europe
• Cost 60-80% lower than the USA, UK, Gulf countries and Singapore, with the same international-standard devices
• No waiting lists - procedures can usually be scheduled within days of arrival
• Free end-to-end support from Satyug Healthcare: opinions, visa letter, airport pickup, interpreter and accommodation

Step-by-Step Process to Travel to India for Treatment

1. Share your reports - send your latest reports, scans/CD, angiography or echo films and passport copy to Satyug Healthcare on WhatsApp (+91-8860606766 / +91-9910655125) or email.
2. Free medical opinion & cost estimate - within 24-72 hours we share opinions and written cost estimates from 2-3 JCI/NABH-accredited hospitals and specialists.
3. Choose hospital & doctor - compare doctor experience, hospital, room category and total cost; we help you decide with no extra charge.
4. Visa Invitation Letter (VIL) - the hospital issues a VIL for the patient and up to two attendants; we arrange it within 24-48 hours.
5. Apply for Indian e-Medical Visa - apply online for the e-Medical Visa (patient) and e-Medical Attendant Visa (family) using the VIL; most approvals come in 3-5 working days.
6. Book flights & accommodation - we suggest flights and arrange a guest house, service apartment or hotel near the hospital to suit your budget.
7. Free airport pickup - our representative receives you at the airport and takes you to your hotel or directly to the hospital.
8. Hospital admission & treatment - a dedicated coordinator and language interpreter stay with you for registration, tests, doctor consultations, the procedure and billing.
9. Discharge & follow-up - you receive the discharge summary, prescriptions and fitness-to-fly certificate; follow-up checks are done before you fly.
10. Return home & tele-follow-up - we arrange airport drop and stay connected for online follow-up consultations with your doctor in India.

Contact Satyug Healthcare - International Patient Helpdesk: +91-8860606766 | +91-9910655125 (WhatsApp available) for a free medical opinion and cost estimate.