Testicular Torsion

Alternate Names : Torsion of the Testicle, Torsion of the Spermatic Cord

What are the treatments for the condition?

Testicular torsion repair surgery is always needed to treat this condition, if it does not quickly go away on its own. To begin the operation, local anesthesia is given in the affected area. Other pain or relaxing medication may also be given to make the man comfortable. A cut is then made in the scrotum. The testicle is brought out and the cord is untwisted. The testicle is observed to see if normal color returns. This indicates that blood flow is returning.

Next, the other testicle is secured to the scrotum with a few stitches. This procedure is called orchiopexy and helps prevent torsion in the future. The first testicle is then re-examined to see if it is recovering properly. If it appears that permanent tissue damage has taken place, the testicle is removed. If the organ has recovered, it is secured with stitches to the scrotum as well.

What are the side effects of the treatments?

The scrotum often swells significantly after surgery. Blood may collect in the scrotum following surgery. As with all surgery, there is a small risk of infection. Reaction to any pain medications is also possible.

What happens after treatment for the condition?

The man should rest as much as possible after surgery. Keeping the scrotum elevated can help reduce discomfort. Pain medications and ice packs may also be prescribed to reduce pain. Rarely, the attempt to secure the testicle is unsuccessful and the testicle can twist a second time.

How is the condition monitored?

After recovery from surgery, no further monitoring is generally needed. Affected men who have similar symptoms in the future should seek immediate treatment at the nearest emergency room. Quick treatment of torsion has a much higher chance of saving the affected testicle.