Best Surgeons for Testicular Torsion Treatment in Bangalore

Diagnosis for Testicular Torsion

Testicular torsion is a time-sensitive emergency and must be diagnosed quickly to prevent permanent damage. A urologist at Pristyn Care performs a prompt clinical evaluation to assess the condition.

• Physical Examination – The doctor examines the scrotum for sudden swelling, redness, tenderness, and the position of the testicle. Absence of the cremasteric reflex is a strong indicator of torsion.
• Scrotal Ultrasound (Doppler) – A Doppler ultrasound is the most commonly used imaging test. It evaluates blood flow to the testicle and helps confirm or rule out torsion quickly and non-invasively.
• Clinical History – Sudden onset of severe unilateral scrotal pain, especially during sleep or after physical activity, is a key diagnostic indicator.

In cases where clinical suspicion is high, surgical exploration may be performed immediately without waiting for imaging results, as time is critical in preserving testicular viability.

Treatment for Testicular Torsion

Immediate surgical intervention is the standard treatment for testicular torsion. The goal is to restore blood flow to the affected testicle as quickly as possible to prevent tissue damage and preserve fertility.

• Manual Detorsion – In some cases, a doctor may attempt to manually untwist the spermatic cord without surgery as a temporary measure. However, this is not a permanent fix and surgical correction is still required.
• Orchiopexy (Testicular Fixation Surgery) – This is the primary surgical treatment for testicular torsion. The surgeon untwists the spermatic cord and stitches the testicle to the inner scrotal wall to prevent future torsion. The procedure is typically performed on both testicles to prevent recurrence on the unaffected side.
• Orchiectomy (Testicle Removal) – If the testicle is found to be non-viable due to prolonged loss of blood supply, it may need to be surgically removed. A testicular prosthesis can be placed for cosmetic purposes if desired.