Surgical Repair for Testicular Torsion

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Have you ever felt a sudden pain and discomfort in one or either of your testicles? Have you noticed while taking a shower that one of your testicles is a bit more enlarged or swollen than the other? Well in this case, shame and stigma should be your least consideration. These may be indications that you are suffering from testicular torsion.

Testicular torsion is a threatening condition, unlike any other forms of reproductive system disorder because of the fact that this disease is characterized by a chronic or acute twitching of the spermatic cord. Because of this twitching, there is an impairment of the blood flow to the testicles and the surrounding areas of the scrotum.

Testicular torsion is not something to be taken lightly because if ischemia occurs, the testicles may suffer from great damage and may even lead to sterility or impotence.

Causes of Testicular Torsion

One cause of testicular torsion is an inadequate amount of tissue in the scrotum (congenital cause). However, more common is the occurrence of trauma to the testicles and scrotal area, as in physical and contact sports, etc. Over-exercising or too much straining/ strenuous exercise without proper assistance or control may lead to testicular torsion too. If swelling occurs, testicular torsion is most likely to happen.

Also, this condition is more common to occur among infants (owing it to the congenital types of testicular torsion), as well as the adolescents (attributed to the physical trauma causes).

Description of Surgery for Testicular Torsion

The surgical procedure employed for cases of testicular torsion is called testicular torsion repair. This repair basically straights out the tangled cord leading to the testicles in order to promote the normal flow of blood. This is an emergency procedure since in most cases, testicular torsion is considered a medical emergency. If the symptoms of testicular torsion presents, surgical intervention may be needed within six hours. Failure to provide emergency treatment in 12 hours may damage the scrotum and testicles to the extent that they need to be removed.

After the induction of anesthesia, the surgeon will make a cut in the scrotum to locate the twisted cord. The surgeon will then manually untangle the cord. After this, the testicles will be attached to the walls of the scrotum in order to prevent recurrence of tangles.

Risks of Surgery for Testicular Torsion

Risks associated with this specific type of surgical procedure are minimal. Bleeding and infection may possible happen, like any other type of surgery; as well as allergic reaction to the anesthesia and problems breathing after the procedure has transpired.

Post-Management of Surgery for Testicular Torsion

Pain medications, anti-inflammatory drugs, ice packs and rest will be encouraged. This will prevent the discomforts and promote the timely healing of these spermatic cord coiling. Strenuous activity will have to be avoided in at least two weeks and no sexual activity should take place in one to two months.

Timely management is crucial for testicular torsion. Most cases presented and intervened within 12 hours or shorter have a 70% success rate.



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