orchidectomy indicated to prevent recurrence
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Dear Mr XXXXXXX
As you have mentioned that your friend had undergone previous hernia
surgery. The recurrence usually occurs due to many factors. The inguinal hernia occurs due to defect in the canal because of inherent weakness as it transmits the spermatic cord
and Blood vessels of the testis. This itself creates a potential weak point. In cases of recurrence there is loss of anatomy and tissue planes.this causes compression of blood vessel supplying the testis leading to reduced blood supply to testis. This induces Ischemic necrosis
and reduction in size and atrophy
of the testis.
So many of the Surgeon remove to testis as the presence of it creates a weak point and also the Testis in many cases is atrophic.
It would still be very helpful if you could get back with detailed sequence of events which had occurred around the time of surgery.
The Testis would have been removed as a therapeutic procedure in the interest of patient.
Dr T Shobha Deepak