What is it?
Emergency surgery to untwist the spermatic cord and try to restore testicular blood flow.
Related condition →When is it needed?
Sudden testicular pain needs emergency assessment. Suspected torsion must not wait for a scheduled appointment.
How is it done?
- Under general anaesthesia, the testis is explored and untwisted.
- A viable testis is fixed; a nonviable one may need removal.
- The opposite testis is usually fixed to prevent torsion.
Alternatives
Observation is not a safe alternative to treating suspected torsion. Medical untwisting attempts do not replace indicated surgery.
Recovery
Pain relief, wound care and a pause from sport are explained. Recovery depends on the procedure and progress.
Risks and follow-up
Possible problems and precautions
Despite surgery, the testis may not recover or may later shrink. Bleeding and infection are also possible.
Follow-up checks
Size and progress are monitored. Any new sudden testicular pain requires urgent assessment.
Frequently asked questions
Can it always be saved?
No; this depends on the duration and severity of lost blood flow.
Why fix the other testis?
To reduce the risk of torsion on that side.
Can one testis function well?
Often yes, if healthy; follow-up is individualised.