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Testicular Torsion Surgery - Twisted Testicle Treatment

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

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    Dr. Sanjeev Gupta (zunvPXA464)

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  • What is Testicular Torsion (Twisted Testicle)?

    Testicular torsion also known as Twisted Testicle or Scrotal 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 testicular torsion treatment. 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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    Testicular torsion symptoms

    It is a medical emergency that requires immediate diagnosis and testicular torsion 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 Testicular torsion symptoms 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 Testicular torsion symptoms, get immediate medical attention since it is a medical emergency that requires rapid diagnosis and testicular torsion treatment to prevent the loss of the affected testicle.

    Are you going through any of these symptoms?

    Diagnostic Tests Before Testicular Torsion Surgery

    If a patient exhibits signs of testicular torsion and symptoms, 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 before testicular torsion Surgery:

    • Ultrasound – A testicular torsion ultrasound scan can be used to visualise the blood flow to the afflicted testicle. When the testicle is twisted, the blood supply to the testicle is decreased or missing.
    • Blood tests – Blood tests may be performed to look for of infection or inflammation in the body, which can cause symptoms similar to testicular torsion.
    • Urine tests – A urine test is usually performed to rule out a urinary tract infection, which can cause scrotal pain.

    It’s important to note that timely testicular torsion treatment is important, 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.

    Testicular Torsion Surgery

    It is a medical emergency that requires immediate testicular torsion 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 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 testicular torsion treatment is delayed for an extended period, the afflicted testicle may need to be removed. If you have sudden and severe pain in your testicle, seek medical assistance right once.

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    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:

    • Salvage of the affected testicle – Surgery salvage the affected testicle and restore its blood flow, avoiding the need for testicular removal.
    • Preservation of fertility – By saving the affected testicle, surgery can help preserve fertility and prevent possible infertility caused by testicular loss.
    • Reduction of pain – Surgery can help to alleviate or eliminate the significant pain associated with testicular torsion.
    • Prevention of complications – By treating testicular torsion early, surgery can help avoid problems like as testicular infarction, which can occur as a result of a protracted stoppage.
    • Improved quality of life – Surgery can improve a patient’s quality of life and general well-being by relieving the pain and discomfort associated with testicular torsion.

    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:

    • Inadequate fixation: The testicle may not be firmly attached to the scrotum in some situations. This increases the likelihood of twisting or torsion.
    • Physical activity: Activities such as sports or exercise that involve sudden and forceful movements of the body can sometimes cause the testicle to twist.
    • Trauma or injury:  Trauma or injury to the scrotum can cause the testicle to twist.
    • Congenital abnormality: A congenital abnormality can raise the risk of testicular torsion in some cases. Torsion can be increased by a “bell clapper” malformation in which the testicle is not properly linked to the scrotum.
    • Age: Testicular torsion is more common in adolescents and young adults, particularly between the ages of 12 and 18.

    It is vital to remember that the testicular torsion reason 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:

    • The most serious risk of testicular torsion is the loss of the affected testicle, which can occur if the blood supply to the testicle is cut off for an extended period of time.
    • Torsion can cause a testicular infarction, which is the death of the testicle owing to a lack of blood supply if left untreated for too long.
    • Infertility is a possible side effect of testicular torsion, particularly if the afflicted testicle is injured or lost.
    • Even if the damaged testicle has been saved, some men may experience chronic testicular pain.
    • It is possible to have psychological anguish, particularly in young men concerned about their fertility and sexual performance.
    • Testicular torsion might reoccur, meaning the damaged testicle can twist again following surgery.
    • Men who have already experienced testicular torsion or who have an underlying anatomical defect that renders them more susceptible to torsion are at a higher risk of recurrence.
    • Delayed treatment or misdiagnosis can raise the risk of complications and testicular loss.
    • Surgery to save the afflicted testicle comes with its own set of dangers, including infection, bleeding, and injury to other structures.
    • Pain relievers and other medicines used to address the Testicular torsion symptoms might have their own set of hazards and side effects.
    • The emotional and psychological impact of testicular torsion, including fear, worry, and sadness, should not be underestimated, and counselling or other help may be required.

    What Precautions Do I Need to Take After Testicular Torsion Surgery

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

    • Rest as much as possible in the days following surgery or until your doctor instructs you to resume normal activities.
    • For many weeks after surgery, avoid intense exercise, hard lifting, or any activity that puts tension on the groin area.
    • Wear supportive knickers, such as a jockstrap, to aid in the reduction of edema and the support of the injured testicle.
    • Take any pain relievers provided by your doctor exactly as directed.
    • Attend all follow-up appointments to ensure that your rehabilitation is on track.
    • Keep an eye out for any signs of testicular torsion of infection, such as fever, increased discomfort, or redness and sw
    • Be vigilant for any signs of infection, such as fever, increasing pain, or redness and swelling around the incision site.
    • If you have any concerns or questions about your recovery, do not hesitate to contact your doctor or medical team for advice and guidance.
    • By following these precautions and working closely with your medical team, you can help ensure a smooth and successful recovery from testicular torsion Surgery.

    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 Surgery?

    Before testicular Surgery, it is extremely important to ask the following 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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    Content Reviewed By
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    Dr. Sanjeev Gupta
    25 Years Experience Overall
    Last Updated : July 20, 2024