A surgeon or urologist will make a small cut in the scrotum, untwist the spermatic cord, and stitch the testicles to the inside of the scrotum to prevent future torsions. When that's finished, the doctor will stitch up the scrotum, and the patient will be taken to a room to recover for an hour or two. The surgery to attach the testicles to the scrotum takes about 45 minutes.
There may be some pain, but it shouldn't be too bad. It's much better than the torsion. Sometimes, if the torsion goes on too long, doctors won't be able to save the affected testicle. Doctors will need to remove it through a type of surgery called an orchiectomy. Guys need to skip strenuous activities like sports and sex or sexual stimulation like masturbation for a few weeks after testicular torsion surgery.
Talk to your doctor about when it will be safe to go back to your normal activities. Guys who have a testicle removed might be able to get a prosthetic, or artificial, testicle a few months after the surgery. Most guys will still be able to father children later in life with one working testicle, but it can help some guys to feel more confident about their appearance if they have a prosthetic testicle.
If you've had a testicle removed, don't despair. It's not the end of the world. Chances are you'll still be able to father children and lead a perfectly normal life. In fact, if you do lose a testicle, nobody but you, your family, and the doctor ever need to know about it. Reviewed by: T. Ernesto Figueroa, MD.
Larger text size Large text size Regular text size. What Is Testicular Torsion? What Causes Testicular Torsion? Other symptoms include: swelling, especially on one side of the scrotum nausea and vomiting belly pain one testicle appears to be higher than the other What Should I Do?
Get Help Right Away Talking to someone about your private parts might seem a little embarrassing. The doctor also might do tests to see if the spermatic cord is twisted, including: Ultrasound. High-frequency Doppler waves are used to make an image of the testicle and check the blood flow. Show references Testicular torsion. Merck Manual Professional Version.
Accessed March 31, Walls RM, et al. Selected urologic disorder. Philadelphia, Pa. Accessed March 1, Ferri FF. Testicular torsion. In: Ferri's Clinical Advisor Bowlin PR, et al. Pediatric testicular torsion. Surgical Clinics of North America. Eyre RC. Evaluation of the acute scrotal pain in adults. Urology Care Foundation. Scrotal pain child. Sometimes it is done through the groin. If the testicle cannot be saved, the urologist will remove the testicle and sew stitches around the other testicle to prevent future torsion.
This can only be determined at the time of surgery. The testes of newborns with torsion can rarely be saved. The testes are almost always infarcted dead. Emergency surgery is not the same with infants. With infants, there have been cases of the second side twisting shortly after birth.
This would leave the baby with no testes. With better anesthesia and post-op care, many pediatric urologists will operate within the first few hours or days of life. The infarcted testicle would be removed, and stitches would be used to prevent torsion in the second testis. Whether the testicle is removed or not, surgery in the scrotum will take time to heal.
You may need to take pain medicine for a few days. Within a few days to a week, you should be able to return to work or school. It's helpful to avoid strenuous activity or exercise for several weeks. You shouldn't notice the stitches around the testicles, and they shouldn't bother you.
The stitches are there to keep torsion from happening again. Torsion of the other testicle can't be prevented by changes in activity or by taking medicine. Only sewing stitches around the testicle will prevent future torsion.
If you feel pain or swelling, seek medical attention right away. If the twisted testicle is left in place, it still might shrink a bit, since lasting damage may happen. Sometimes, if one testicle is removed, the other may grow larger than normal. This is known as "compensatory hypertrophy. Only one working testicle is needed for normal fertility and male features.
A single testicle can make normal amounts of sperm and testosterone. 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. If you've lost a testicle or have a weakened testicle, you should be careful with the one that's left.
Always wear protection when playing contact sports. Seek medical care if you have any discomfort or notice anything abnormal in the scrotum or remaining testicle.
You may also have a decrease in the amount of testosterone in your blood at an early age. It's a good idea to have your testosterone levels checked regularly as you get older. A testicular prosthesis is used to restore the look and feel of a testicle that has been removed. One type is made of silicone and filled with salt water. Most often, the prosthesis is placed when a man is fully grown and through puberty. If a smaller prosthesis is used in a young boy, an adult size would be needed later.
This means more surgery. Surgery for a prosthetic testicle is often done months after the testicle is removed. The decision for a prosthesis is personal, and should be discussed with your urologist. Yes, though this is very rare.
Its exact cause is unknown.
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