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Treating Testicular Torsion

Surgery is almost always the treatment for testicular torsion and is necessary to untwist the spermatic cord and restore blood flow to the testicle. To save the affected testis, surgery within five or six hours of onset of symptoms is recommended to try to prevent permanent damage. In cases of torsion that have gone untreated for more than 12 to 24 hours, complete removal of the affected testicle called an orchiectomy, may be necessary if the damage to the testicle is irreparable.

  • Surgery for torsion is typically performed under general anesthesia and can be performed either in the hospital or in one of Chesapeake Urology’s Summit Ambulatory Surgery Centers.
  • The surgeon makes a small incision in the scrotum to access the spermatic cord and testis to untwist it and restore its proper placement. Your surgeon will usually stitch the testicle to the inside of the scrotum to ensure torsion does not occur again.
  • The testicle on the other side is usually fixed with stitches as well to prevent a similar occurrence in the future.
  • Following surgery, you may need to take pain medication for several days to control any mild discomfort at the surgical site.
  • Recovery requires rest and it is recommended that you avoid strenuous exercise for several weeks following the procedure. Patients typically return to other normal daily activities within one week.

Testicular torsion is an emergency as loss of blood flow to the testicle for a period of just hours can cause the testis to die or be permanently damaged. Surgery to correct the twisted spermatic cord is often indicated. Torsion can result in problems with fertility later for men who do not seek immediate medical treatment by a urologist. If you experience sudden and severe pain in your scrotum, go to the closest emergency room for evaluation and treatment.


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