Clinical study and analysis of orchidectomies done at Basaveshwara Teaching and General Hospital, Kalaburagi, Karnataka, India

Abstract

Background: Orchidectomy is a procedure which is done sometimes as an emergency procedure and sometimes as an elective procedure and it has various psychological, physical and social considerations. This study was done to see the various modes of presentation and the need for orchidectomy in different cases and their management with respect to age, cause and its acceptance. Methods: This retrospective study of orchidectomies was conducted in 84 patients who were admitted and treated in surgical setting from January 2012 to August 2015. Patients were evaluated thoroughly with history, physical examination, routine investigations, ultrasonography, Doppler and then subjected to orchidectomy after obtaining written and informed consent. Patients were subjected to unilateral or bilateral orchidectomy depending on the presenting condition. Results: In this study total 84 cases who underwent orchidectomy for various reasons were studied which showed that age group between 51 to 60 years had highest incidence of orchidectomies and the majority of them were diagnosed with obstructed hernia and presented with pain as the chief complaint. Conclusions: This study depicts that orchidectomy has to be done as an inevitable procedure in case of testicular torsion presenting late, in Fournier’s Gangrene along with debridement when testis is unhealthy and facilities are limited, in cases of trauma to testis and in undescended testis presenting late. In case of recurrent and long standing hernias orchidectomy is still the best possible treatment which can be done where the facilities are minimal.