Testicular Torsion Surgery

What Is Testicular Torsion?

Testicular torsion occurs when the spermatic cord, which supplies blood to the testicle, twists and cuts off the blood flow. This condition is a medical emergency and typically affects adolescent males, though it can occur at any age. Testicular torsion is caused by the abnormal rotation of the testicle within the scrotum, often due to a congenital condition or physical activity. Without timely treatment, the lack of blood flow can lead to severe damage or loss of the testicle, making immediate surgical intervention crucial.

Testicular Torsion Symptoms

The most prominent symptom of testicular torsion is sudden and severe pain in one testicle, often accompanied by swelling and tenderness in the scrotum. Other symptoms may include nausea, vomiting, abdominal pain, and fever. Some individuals may also notice a higher-than-normal positioning of the affected testicle or an abnormal angle. These symptoms require urgent medical attention, as delaying treatment can lead to permanent complications or loss of the testicle.

Diagnostic Tests Before Testicular Torsion Surgery

To confirm testicular torsion, a healthcare provider conducts a physical examination to check for tenderness, swelling, or abnormal positioning of the testicle. In some cases, imaging tests like an ultrasound with Doppler flow may be used to assess blood flow to the testicles. Blood and urine tests may also be performed to rule out infections. These diagnostic steps are crucial in ensuring the correct diagnosis and determining the urgency of surgical intervention.

Testicular Torsion Surgery

Testicular torsion surgery, known as orchiopexy, is an emergency procedure aimed at untwisting the spermatic cord and restoring blood flow to the affected testicle. The surgery is performed under general anesthesia. The surgeon makes a small incision in the scrotum to access the twisted testicle and gently untwists the spermatic cord. Once blood flow is restored, the testicle is secured to the scrotum to prevent future torsion. The unaffected testicle is also often secured as a precautionary measure. The incision is then closed with sutures, and the patient is monitored during recovery to ensure successful outcomes.

Benefits Of Testicular Torsion Surgery

The primary benefit of testicular torsion surgery is the restoration of blood flow to the affected testicle, preventing irreversible damage or loss. Prompt surgical intervention ensures the preservation of the testicle’s function and appearance. The procedure also significantly reduces the risk of complications such as infertility or chronic pain. Additionally, by securing both testicles during surgery, the chances of future episodes of torsion are minimized. Overall, the surgery provides a long-term solution to this medical emergency and helps maintain the patient’s reproductive and overall health.

What Precautions Do I Need To Take After Testicular Torsion Surgery?

After surgery, patients should follow specific precautions to ensure a smooth recovery. Rest is essential during the initial days, with physical activities, especially heavy lifting or strenuous exercise, avoided for at least a few weeks. Wearing supportive underwear can help reduce discomfort and promote healing. Patients should keep the surgical site clean and dry and follow all wound care instructions provided by their doctor. Pain and swelling can be managed with prescribed medications. It is important to attend all follow-up appointments to monitor recovery and address any concerns. Immediate medical attention should be sought if symptoms like severe pain, fever, or unusual swelling occur.