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Testicular Torsion Treatment - Benefits, Risks and Recovery

Visit Pristyn Care for comprehensive and effective treatment for testicular torsion. We work with some of the best urologists in the country. Book an appointment with Pristyn Care’s experienced surgeons near you right away.

Visit Pristyn Care for comprehensive and effective treatment for testicular torsion. We work with some of the best urologists in the country. Book an ... Read More

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    Dr. Falguni Rakesh Verma (klJ7Egw4gu)

    Dr. Falguni Rakesh Verma

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    Dr. Sanjeev Gupta (zunvPXA464)

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    25 + Years

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    Dr. Milind Joshi (g3GJCwdAAB)

    Dr. Milind Joshi

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  • What is Testicular Torsion (Twisted Testicle)?

    Testicular torsion is a rare medical condition in which the spermatic cord that provides blood to the testicle twists and cuts off the blood supply to the testicle. Males of any age can develop this condition; however, it is more frequent in adolescent boys aged 12 to 18. Although testicular torsion is a rare condition, it is a medical emergency that requires prompt care.

    Torsion of the testicle is characterized by abrupt and intense pain in the affected testicle, which may be accompanied by swelling, redness, and tenderness. The pain can be severe and can cause nausea, vomiting, fever, and other symptoms.

    Testicular torsion is classified into two types: intravaginal and extravaginal. Torsion of the spermatic cord within the tunica vaginalis, the sac around the testicle, causes intravaginal torsion. Torsion of the spermatic cord outside the tunica vaginalis, commonly within the inguinal canal, is known as extravaginal torsion.

    Testicular torsion is a serious condition that requires immediate medical attention. If it is left untreated, the loss of blood supply can result in the death of the affected testicle, a condition known as testicular infarction. This can result in testicle loss and long-term consequences such as infertility.

    Surgery is the most common treatment for testicular torsion. To prevent further twisting, the surgeon untwist the spermatic cord and secured the testicle. If the affected testicle has been damaged beyond repair, it may need removal.

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    Symptoms of Testicular Torsion

    Torsion of the testicle is a medical emergency that requires immediate diagnosis and treatment to avoid the loss of the affected testicle. Testicular torsion symptoms might vary based on the degree and duration of the torsion. The common symptoms of testicular torsion are as follows:

    • Severe pain in one testicle:  Torsion of one testicle usually causes sudden and significant discomfort. The pain may be gradual or abrupt, and it may be accompanied by nausea and vomiting.
    • Swelling and redness of the affected testicle: The affected testicle may become swollen, red, and tender to the touch.
    • Abdominal pain: Testicular torsion can cause stomach pain and discomfort, especially in the lower abdomen.
    • A high-riding testicle: The affected testicle may be positioned higher than normal in the scrotum, making palpation and examination difficult.
    • Testicular discoloration: Due to decreased blood supply, the affected testicle may appear dark or discolored in some circumstances.
    • Testicular torsion in children: Children with testicular torsion may experience abdominal pain, vomiting, and irritability, as well as swelling and redness of the afflicted testicle.

    If you encounter any of these symptoms, get immediate medical attention since testicular torsion is a medical emergency that requires rapid diagnosis and treatment to prevent the loss of the affected testicle.

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    Diagnostic Tests Before Testicular Torsion Treatment

    If a patient exhibits signs and symptoms of testicular torsion, the doctor usually undertakes a physical exam to examine the status of the testicle and scrotum. They may also perform diagnostic tests to confirm the condition and rule out other conditions. Here are some of the diagnostic tests that may be conducted prior to testicular torsion treatment:

    It’s important to note that timely treatment is important for testicular torsion, as delays in treatment can lead to permanent damage to the testicle. If you experience sudden and severe pain in your testicle, it’s important to seek medical attention immediately.

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    Testicular Torsion Treatment

    Testicular torsion is a medical emergency that requires immediate treatment to avoid long-term harm to the testicle. The treatment’s primary goal is to restore blood flow to the damaged testicle. The following are some of the treatment options for testicular torsion:

    • Medication – Pain relievers may be prescribed to help manage the discomfort caused by testicular torsion.
    • Manual detorsion – Manual detorsion is the process of manually untwisting the testicle in order to reestablish blood flow. It is usually done under anesthesia and may require the use of advanced techniques to prevent re-twisting.
    • Surgery – Surgery may be required in some cases to untwist the testicle and restore blood flow. This may entail an orchiopexy procedure, in which the testicle is surgically fixed to avoid further torsion.

    It is crucial to note that timely treatment is important when it comes to treating testicular torsion, since any delay in treatment might result in lasting testicular damage. If treatment is delayed for an extended period of time, the afflicted testicle may need to be removed. If you have sudden and severe pain in your testicle, seek medical assistance right once.

    Are you going through any of these symptoms

    Benefits of Testicular Torsion Surgery

    The advantages of testicular torsion surgery vary according to the severity of the torsion and the extent of damage to the affected testicle. In general, testicular torsion surgery can provide the following advantages:

    It is crucial to seek immediate medical attention if you suspect that you may be experiencing testicular torsion in order to maximize the potential benefits of treatment.

    Causes of Testicular Torsion

    Testicular Torsion occurs when the testicle twists on its spermatic cord, cutting off the testicle’s blood supply. If not treated promptly, this can be a medical emergency, causing damage to the testicle and surrounding tissues. The following are some of the most common causes of testicular torsion:

    It is vital to remember that the reason for testicular torsion may be unknown in some circumstances. If you have sudden and severe pain in your testicle, seek medical help immediately because testicular torsion requires quick medical attention to prevent long-term damage to the testicle.

    Risks and Complications of Testicular Torsion

    The common risks and complications of testicular torsion are as follows:

    What Precautions Do I Need to Take After Testicular Torsion Treatment

    Following testicular torsion treatment, it is critical to carefully follow your doctor’s instructions to ensure good healing and avoid problems. Here are some safeguards you should take:

    FAQs Around Testicular Torsion

    What testicular torsion feels like?

    Testicular torsion usually causes sudden and severe pain in the scrotum, swelling of scrotum, redness, tenderness, or hardening of the scrotum. In some cases, it may also cause nausea and vomiting. 

    Can I kids with one testicle?

    Usually, one testicle is sufficient to produce semen and testosterone. A man with one testicle is as fertile as men with two testicles. 

    What if testicular torsion is left untreated?

    If testicular torsion is left untreated, it can lead to permanently damaged or dead testicles that must be removed. 

    Who is at risk of testicular torsion?

    The common risk factors for testicular torsion are underlying bell clapper deformity, undescended testicle, trauma, and prior intermittent torsion. Testicular torsion is the spontaneous twisting of the spermatic cord, which compromises testicular blood flow. It is a rare condition in 1 in 4000 males younger than 25 years, rarely in newborns.

    Will testicular torsion lead to infertility?

    Not always. If one testis undergoes and dies, the anterior pituitary stimulates the remaining healthy testis to secrete more testosterone and form more sperm. In such a case, the man remains fertile. In some rare cases, the sperm count decreases following torsion, increasing the risk of fertility. 

    What questions do I need to ask my urologist before testicular torsion treatment?

    Before testicular treatment, it is extremely important to ask the followings questions to your urologists to have a better understanding of the procedure:

    • What is the best treatment option for me?
    • What are the risks and complications associated with the treatment?
    • What precautions do I need to take after surgery?
    • Is surgery the only option for testicular torsion treatment?

    What is the testicular torsion surgery cost?

    The average testicular torsion surgery cost in India typically ranges around Rs. 30,000 to Rs. 70,000.

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