Testicular torsion repair is surgery to untangle or untwist a spermatic cord. The spermatic cord has a collection of blood vessels in the scrotum that lead to the testicles. Testicular torsion develops when the cord twists. This pulling and twisting blocks blood flow to the testicle.
Most of the time, you will get general anesthesia for testicular torsion repair surgery. This will make you asleep and pain-free.
To perform the procedure:
Testicular torsion is an emergency. In most cases, surgery is needed right away to relieve pain and swelling and to prevent the loss of the testicle. For the best results, surgery should be done within 4 hours after symptoms begin. By 12 hours, a testicle may become damaged so badly that it has to be removed.
Risks of this surgery are:
Most of the time, this surgery is done as an emergency, so there is often too little time to have medical tests beforehand. You may have an imaging test (most often ultrasound) to check for blood flow and tissue death.
Most of the time, you will be given pain medicine and sent to a urologist for surgery as soon as possible.
Following your surgery:
If surgery is done in time, you should have a complete recovery. When it is done within 4 hours after symptoms begin, the testicle can be saved most of the time.
If one testicle has to be removed, the remaining healthy testicle should provide enough hormones for normal male growth, sex life, and fertility.
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Review Date: 7/26/2021
Reviewed By: Kelly L. Stratton, MD, FACS, Associate Professor, Department of Urology, University of Oklahoma Health Sciences Center, Oklahoma City, OK. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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