Treatment FAQ

what is the treatment for testicular torsion

by Prof. Alfredo Champlin Published 2 years ago Updated 2 years ago
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Surgery is required to correct testicular torsion. In some instances, the doctor might be able to untwist the testicle by pushing on the scrotum (manual detorsion). But you'll still need surgery to prevent torsion from occurring again. Surgery for testicular torsion is usually done under general anesthesia.Feb 24, 2022

Procedures

Surgery for testicular torsion is usually done under general anesthesia. During surgery, your doctor will make a small cut in your scrotum, untwist your spermatic cord, if necessary, and stitch one or both testicles to the inside of the scrotum. The sooner the testicle is untwisted, the greater the chance it can be saved.

Nutrition

Surgery is the usual method for treating testicular torsion. It may also be used to diagnose the condition, followed by immediate untwisting of the testicle if it is present. Surgery for Testicular Torsion The main goal of surgery is to untwist the testicle in order to restore the flow of blood.

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Can testicle torsion fix itself?

Testicular torsion almost always needs surgery to fix. In rare cases, the doctor might be able to untwist the spermatic cord by pushing on the scrotum, but most guys will still need surgery to attach both testicles to the scrotum to prevent torsion from happening in the future.

What happens if testicular torsion is not treated?

Testicular torsion causes sudden pain and swelling in the scrotum or lower abdomen. This is an emergency situation — if left untreated, the condition can lead to a permanently damaged or dead testicle which must then be removed.

How long does testicular torsion take to heal?

The swelling usually goes down within 2 to 4 weeks. You should be able to do most of your normal activities after 1 to 2 weeks, except for those that require a lot of effort. It's important to avoid straining with bowel movements and doing heavy lifting while you recover.

Is testicular torsion serious?

Testicular torsion is a painful, very serious condition in which a male's testicular blood supply (the spermatic cord) gets twisted and cuts off blood flow to the testicle. It is a medical emergency and if not treated right away—within six hours—you can lose the testicle.Aug 22, 2019

Is testicular torsion surgery painful?

Sometimes doctors can untwist the testicle and spermatic cord by hand, but in most cases, you'll need surgery, called orchiopexy, to fix testicular torsion. You'll be asleep and won't feel pain during the surgery. The surgeon will make a small cut in your scrotum and untwist your spermatic cord.Jun 25, 2020

What testicular torsion looks like?

The most common sign of testicular torsion is sudden, severe pain on one side of the scrotum. The testes should be about the same size. If one side quickly becomes larger than the other, this can be a problem. Change in scrotum color, especially redness or darkening, is also a problem.

Can you have testicular torsion for months?

Conclusion. Testicular torsion is an important and common cause of acute testicular pain and can occur intermittently even for many years in some patients.Feb 20, 2018

Can you get testicular torsion twice?

Recurrent testicular torsion after previous orchiopexy is rare but should be included in the differential diagnosis of acute scrotum. Testicular fixation with nonabsorbable suture and in at least two points can help to prevent recurrent torsion.Jul 15, 2019

How does a twisted testicle happen?

Testicular torsion occurs when the testicle rotates on the spermatic cord, which brings blood to the testicle from the abdomen. If the testicle rotates several times, blood flow to it can be entirely blocked, causing damage more quickly. It's not clear why testicular torsion occurs.Feb 24, 2022

Can you have a baby after testicular torsion?

Conclusions: Several studies suggest decreased fertility potential in patients with a history of testicular torsion. However, in the current study in couples in which the male had a history of testicular torsion the pregnancy rate and the interval to pregnancy were within the accepted range of the general population.

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