Testicular torsion repair - series

Normal anatomy

The testicles are suspended in the scrotal sac.

Normal anatomy

Indications

Testicular torsion occurs when the testicle, normally attached to the scrotum by a small ligament at its base, becomes loose. The testicle can then twist on itself, cutting off its flow of blood. Testicular torsion is considered an emergency. Surgery is usually required, and it should be performed within about 5 hours from the onset of symptoms to save the testicle.

Indications

Procedure

General anesthesia is used and the patient is deep asleep and pain-free. An incision is made in the scrotum, the testicle is uncoiled, and an absorbable suture is placed to secure the testis from rotating again. The unaffected testicle is also secured by suture because the problem tends to occur on both sides and the unaffected side is at increased risk for torsion at a later date.

Procedure

Results

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

Results

Revision

Last reviewed 9/24/2012 by Linda J. Vorvick, MD, Medical Director and Director of Didactic Curriculum, MEDEX Northwest Division of Physician Assistant Studies, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington. Louis S. Liou, MD, PhD, Chief of Urology, Cambridge Health Alliance, Visiting Assistant Professor of Surgery, Harvard Medical School. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.

Disclaimers

  • The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition.
  • A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions.
  • Call 911 for all medical emergencies.
  • Links to other sites are provided for information only -- they do not constitute endorsements of those other sites.

©1997 - A.D.A.M., Inc.Any duplication or distribution of the information contained herein is strictly prohibited.adam.com