The testes or testicles are the two organs hanging in a skin pouch.
This pouch is known as the scrotum which is located below the penis. Here male sex hormone testosterone and sperm are made.
Generally, the supply of blood for each testicle is coming from the spermatic cord. This cord starts from the abdomen and is extended into the scrotum.
It also contains the vas deferens which is carrying sperm from the testicles to the urethra.
For restoring the blood supply, detorsion of the spermatic cord is done. Severe lasting damage of this condition starts after six hours of the twisting or torsion.
A study says nearly 3 out of 4 patients having testicular torsion requires the removal of the testicle in case the surgery is delayed past twelve hours.
Testicular torsion must be treated surgically, in an emergency room doctor may be able to temporarily untwist the cord by hand.
A surgical procedure involves securing the testicle with sutures to the inner wall of the scrotum to avoid future twisting.
In case bell clapper deformity is diagnosed, the surgeon may secure the other testicle to the scrotum even if the torsion is not observed.
The testicles of the infants having testicular torsion can rarely be saved. Because the testes are completely dead or infarcted in most of these cases.
Emergency surgery or medical attention in infants with this condition is not the same. In infants, there have been observed cases in which second side twisting is observed shortly after birth.
Thus, no tests will be left. However, with post-operative care and better anesthesia, pediatric urologists carry surgery within the first few hours to remove the affected testicle and save the other.
Whether the testicle is removed or not during the surgery but scrotum will need time for healing. You can return to your school or work within a few days or a week.
In case you observe severe swelling and pain then seek medical attention immediately.
Sometimes when one testicle is removed then the other grows larger than the normal testes. This is called "compensatory hypertrophy"
For the first week after your surgery,
You will have to wear scrotal support for at least 48 hours.
Use ice to reduce redness and swelling around your incision or scrotum
Wash the treated area with mild soap gently
You must keep the incision area dry. It should be covered with gauze for a few days post your surgery
Regularly apply the prescribed ointments and creams
For reducing pain, nonsteroidal anti-inflammatory drugs or medications (NSAIDs) such as ibuprofen (Motrin, Advil) will be prescribed.
Avoid any kind of strain while bowel movements. Drink plenty of liquids or fluids for a regular bowel movement. Also, eat high-fiber foods.
Avoid lifting heavy weights for at least two weeks.
Avoid exercise for the first four weeks post your surgery.
Clamps are generally used to prevent any injury to the spermatic cords. In some cases, a prosthetic testicle is placed after the removal.
Then, the treated area is washed with saline solution, and incisions are closed with stitches.
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