Testicular torsion repair

Definition

Testicular torsion repair is surgery to untangle the twisted spermatic cord that is causing testicular torsion.

Description

Testicular torsion is a problem most often encountered by boys at early puberty or just after birth, but it can occur at any age. Approximately 1 in 4,000 males are affected.

Torsion occurs when the testicle turns or spins, blocking the flow of blood into the testicle. Prolonged blockage of blood flow causes tissue death in the testicle that results in pain, swelling, and possible testicular damage. If treatment is not received within 6 to 8 hours, the entire testicle may die and need to be removed.

Testicular torsion repair surgery is usually done under general anesthesia (asleep, no pain). A cut is made in the scrotum, and the testicle is uncoiled. Stitches are used to secure the testicle to the inside of the scrotum. The other unaffected testicle is also secured, because it is at increased risk for torsion at a later date.

Why the Procedure is Performed

Testicular torsion is considered an emergency. Surgery is usually required, and it should be performed within 4 to 6 hours of onset of symptoms to save the testicle.

Recovery

After surgery, ice packs will relieve pain and swelling. A scrotal support may be worn for a week after surgery. Normal activity may be resumed gradually.

Outlook (Prognosis)

If surgery is performed in time, complete recovery is expected. If one testicle has to be removed, the remaining healthy testicle should provide enough hormones for normal male maturation, sex life, and fertility.

Risks

Risks for any anesthesia are:

• Reactions to medications
• Problems breathing

• Bleeding
• Infection