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Testicular torsion repair |
| Definition: |
| Testicular torsion repair is surgery to untangle the twisted spermatic cord that is causing testicular torsion.
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| 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. Torsion occurs when the testicle turns or spins on the axis of its blood supply, blocking the flow of blood into the testicle. If prolonged, this causes tissue death in the testicle, resulting in pain, swelling, and possible testicular damage. Approximately 1 in 4,000 males are affected. General anesthesia is generally used in testicular torsion repair. An incision is made in the scrotum, the testicle is uncoiled, and sutures are placed to secure the testis from rotating again. The other unaffected testicle is also secured because the unaffected side is at increased risk for torsion at a later date. |
| Indications: |
| Testicular torsion is considered an emergency. Surgery is usually required, and it should be performed within about 6 hours from the onset of symptoms to save the testicle.
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| Risks: |
Risks for any anesthesia are:
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| Expectations after surgery: |
| 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.
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| Convalescence: |
| After surgery, apply ice packs to relieve pain and swelling. A scrotal support may have to be worn for a week after surgery. Resume normal activity gradually. |
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