Can testicular torsion be treated without surgery?

Surgery is required to correct testicular torsion. In some instances, the doctor might be able to untwist the testicle by pushing on the scrotum (manual detorsion). But you’ll still need surgery to prevent torsion from occurring again. Surgery for testicular torsion is usually done under general anesthesia.

How do you manually treat testicular torsion?

With torsion of the left testis, hold the testicle with the right thumb and forefinger and then rotate the testicle clockwise 180 degrees. This manipulation may need to be repeated 2-3 times, because testicular torsion may involve rotations of 180-720 degrees.

Can you recover from testicular torsion?

Recovery. After surgery for testicular torsion, there will be bruising and swelling for about a week or so. The good news is dissolvable stitches are usually used, so there is no need for removal. Your child or teen will be able to go back to normal activities, including attending school, in about 1-2 weeks.

How can I reduce testicular torsion?

Having testicles that can rotate in the scrotum is a trait inherited by some males. If you have this trait, the only way to prevent testicular torsion is surgery to attach both testicles to the inside of the scrotum.

How long can testicular torsion last?

The testicle may continue to function properly if the condition is found early and treated right away. The chances that the testicle will need to be removed increase if blood flow is reduced for more than 6 hours. However, sometimes it may lose its ability to function even if torsion has lasted fewer than 6 hours.

How long can testicular torsion go untreated?

In addition to the extent of torsion, the duration of torsion prominently influences the rates of both immediate salvage and late testicular atrophy. Testicular salvage is most likely if the duration of torsion is less than 6-8 hours. If 24 hours or more elapse, testicular necrosis develops in most patients.

How long does testicular torsion last?

The swelling usually goes down within 2 to 4 weeks. You should be able to do most of your normal activities after 1 to 2 weeks, except for those that require a lot of effort.

Is testicular torsion surgery painful?

Testicular Torsion Treatment Sometimes doctors can untwist the testicle and spermatic cord by hand, but in most cases, you’ll need surgery, called orchiopexy, to fix testicular torsion. You’ll be asleep and won’t feel pain during the surgery.

Can you have a baby after testicular torsion?

Conclusions: Several studies suggest decreased fertility potential in patients with a history of testicular torsion. However, in the current study in couples in which the male had a history of testicular torsion the pregnancy rate and the interval to pregnancy were within the accepted range of the general population.

Does torsion pain go away?

If you have a testicular torsion, chances are you’ll know it. You’ll feel a sudden, possibly severe pain in your scrotum and one of your testicles. The pain might increase and decrease but generally won’t go away completely.

Can testicular torsion have long term effects?

One study found that 75% of men diagnosed with testicular torsion and who had surgery 12 hours after symptoms started required removal of the testicle. Other long-term side effects of torsion include pain, infertility, and low testosterone.

What is the recovery time for testicular surgery?

After surgery to remove the testicle, most men can go back to normal activities after 2 weeks. But removing lymph nodes from the stomach (abdomen) is a major operation.

How long does a testicle operation take?

The operation normally takes about 30 minutes. The surgeon makes a cut in the groin and cuts the spermatic cord to remove the testicle. They might also remove nearby lymph nodes. In some men with very small tumours the surgeon removes only part of the testicle but this is very rare.

Does testicular torsion affect sperm count?

But studies show that up to one third of patients have a lower sperm count after a torsion. Testicular torsion can also result in anti-sperm antibodies, which may change how the sperm work and move. Some studies suggest that these men could have lower fertility, but this is rare.

Can you still produce sperm with testicular torsion?

Rarely, torsion may occur on both sides, but only in around 2 out of 100 men. If doctors remove one testicle, the remaining testicle may still produce sufficient sperm to conceive a child. However, those who have had testicular torsion may have a lower sperm count than those who have not.

Can you walk after testicular torsion surgery?

Start by walking a little more than you did the day before. Bit by bit, increase the amount you walk. Walking boosts blood flow and helps prevent pneumonia and constipation. Avoid strenuous activities, such as bicycle riding, jogging, weight lifting, or aerobic exercise, for 1 to 2 weeks after surgery.

Does testicle surgery hurt?

Most men will have discomfort requiring pain medicine for 1-2 weeks. After this time, the pain usually diminishes considerably, although there may be certain times of day when discomfort is worse. Many men experience the greatest discomfort when sitting or at night. A dull ache or soreness is common for 6-8 weeks.

What is the treatment for testicular torsion?

All patients with torsion will need surgery. It is possible to untwist the chord in the emergency room, but surgery is still needed. At surgery, the urologist will untwist the testicle and sew stitches to prevent future torsion. Most often, this is done through the scrotum.

What are the complications of testicular torsion?

Complicaciones. La torsión testicular puede causar las siguientes complicaciones: Daño o muerte del testículo. Cuando la torsión testicular no se trata durante varias horas, la obstrucción del flujo sanguíneo puede causar daño permanente al testículo.

How long does testicular torsion take to heal?

Lasting damage starts after 6 hours of torsion. One study found that nearly 3 in 4 patients need the testicle removed (“orchidectomy”) if surgery is delayed past 12 hours. Ideally you can see a urologist for treatment.

What is testicular torsion of the epididymis?

Torsion of the “appendix of the epididymis” or “appendix of the testicle” can occur. In this kind of torsion, twists are found in a small, upper part of the epididymis or testicle, causing infarction (death of that tissue).