I think as it has such a low sucess rate any surgeon who is willing to preform an epididymectomy should only do it under terms that if it dosnt work or makes things worse should be followed by an orchiectomy.
I was left stranded by the NHS even though I told them I was suicidal after 9 months of daily torture. So its ok to remove a testicle and cut all its pipework off stich it up and put it back inside and then they look at you like you are crazy when you ask them to remove it?
After my epidimectomy I was even told that they thought my pain was being refered from somewere else…basically every reason not to remove and when I was able to argue back with all the knowledge which I had gained mostly through here I was still told they dont think its the right move.
Anyone else in uk please beware that Nhs have strict guidlines when treating testicle pain and are willing to leave you in tormenting pain. Lucky I had the funds to go private and found a uro who understood my situation and right away agreed that removing this already damaged testicle was a possible solution and statistically a no brainer because I was living in hell!