Diagnosis & Treatment

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 â€“ 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) â€“ 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 â€“ 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 â€“ 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) â€“ 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) â€“ 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.

Why Pristyn Care?

Delivering Seamless Surgical Experience in India

Pristyn Care is COVID-19 safe

Your safety is taken care of by thermal screening, social distancing, sanitized clinics and hospital rooms, sterilized surgical equipment and mandatory PPE kits during surgery.

Assisted Surgery Experience

A dedicated Care Coordinator assists you throughout the surgery journey from insurance paperwork, to free commute from home to hospital & back and admission-discharge process at the hospital.

Medical Expertise With Technology

Our surgeons spend a lot of time with you to diagnose your condition. You are assisted in all pre-surgery medical diagnostics. We offer advanced laser and laparoscopic surgical treatment. Our procedures are USFDA approved.

Post Surgery Care

We offer free follow-up consultations and instructions including dietary tips as well as exercises to every patient to ensure they have a smooth recovery to their daily routines.

Preparation Before Testicular Torsion Surgery

Since testicular torsion is a surgical emergency, pre-operative preparation is done quickly. The surgical team will conduct a rapid assessment of your overall health before proceeding with the operation.

Inform the medical team about any medications, supplements, or blood thinners you are taking.
Do not eat or drink anything before surgery unless cleared by the doctor.
Sign an informed consent form after understanding the procedure, its risks, and benefits.
Arrange for a family member or caregiver to accompany you to the hospital and assist with transport after the procedure.

Recovery After Testicular Torsion Surgery

Most patients are discharged within 24 hours after orchiopexy and can resume light activities within a week.
Avoid strenuous physical activities, sports, and heavy lifting for 2 to 4 weeks post-surgery.
Wear supportive underwear to reduce swelling and discomfort during recovery.
Take prescribed pain relievers and anti-inflammatory medications as directed by the surgeon.
Attend follow-up appointments to monitor healing and testicular function.
Contact your doctor if you notice increasing pain, fever, or swelling at the surgical site.

Benefits of Early Surgical Treatment for Testicular Torsion

Testicle Preservation â€“ Surgery within 6 hours of symptom onset has a salvage rate of over 90%, significantly reducing the risk of losing the testicle.
Fertility Protection â€“ Early intervention helps protect long-term fertility by preventing irreversible testicular damage.
Prevention of Recurrence â€“ Orchiopexy of both testicles ensures the condition does not recur on either side.
Fast Recovery â€“ Minimally invasive surgical techniques allow for quick recovery and early return to daily activities.
Relief from Pain â€“ Surgical correction provides immediate relief from the severe scrotal pain associated with torsion.

How urgent is testicular torsion treatment?

Testicular torsion is a medical emergency. Surgery must be performed within 4 to 6 hours of symptom onset to save the testicle. Delay can result in permanent loss of the testicle.

Can testicular torsion resolve on its own?

No, testicular torsion does not resolve on its own. It requires immediate medical attention and surgical intervention to restore blood supply to the testicle.

What is the success rate of testicular torsion surgery?

When surgery is performed within 6 hours, the success rate for saving the testicle is over 90%. After 24 hours, the salvage rate drops significantly, and removal of the testicle may become necessary.

Will testicular torsion affect my fertility?

If treated promptly, most patients retain normal fertility. However, delayed treatment or loss of the testicle may impact sperm production and fertility. Your urologist can guide you on fertility considerations after treatment.

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