Background: Acute epididymorchitis is an inflammatory condition of the testis and the spermatic cord usually controlled by antibiotics and conservative management, rarely it leads to abscess formation and ischemia of testis inadvertently leading to orchidectomy, through this paper we try to devise causes of increased orchidectomies in such cases in our hospital like multidrug resistant bacteria causing epididymo-orchitis, compartment syndrome, klebsiella. Aim: to identify cause of increased orchidectomies in patients of both acute epididymo-orchitis and testicular abscess. Objective: Testicular abscess and acute epididymitis progressing to testicular ischemia leading to inevitable orchidectomy: a retrospective study. Methodology: A retrospective observational study on the causes of increased orchidectomies in patients of epididymo-orchitis and testicular abscess was conducted in the department of General Surgery in GMC, KATHUA. Secondary data was collected from time period – January 2022- December 2022 . Results: We studied a total of 50 male patients aged between 20-55 suffering from epididymo- orchitis who had developed testicular ischemia and had to undergo inevitable orchidectomy.