Overview & Description
The cord supplying blood to the testicle can become twisted in a condition known as testicular torsion. If this happens, blood flow can be cut off and the testicle can die. Testicular torsion repair is a surgical procedure in which the testicle is untwisted and anchored to the scrotum in the proper place.
Who is a candidate for the procedure?
Surgery is performed when a male has sudden pain in the scrotum and testicular torsion cannot be ruled out. If a twisted testicle is found when the scrotum is opened, the problem will be repaired and the testicle anchored.How is the procedure performed?
The surgery can be performed under general anesthesia or regional anesthesia. General anesthesia means the person is put to sleep with medications. Regional anesthesia means the person will be awake, but numb below the waist. A medication may be given to make the person drowsy. To begin the operation, a cut is made in the scrotum and the testicle is brought out. The color of the testicle is observed and the cord is examined for signs of twisting. After the cord has been untwisted, it is wrapped in warm gauze that has been soaked in saline solution. Next, the other testicle is secured to the scrotum with a few stitches. This is done because the anatomical defect that leads to a twisted testicle is frequently present on both sides. The anchoring procedure is known as orchiopexy. The first testicle is then re-examined to see if it is recovering properly. If it appears that permanent tissue damage has taken place, the testicle is removed. If the testicle has recovered, it is secured with stitches to the scrotum. The incision is closed and a sterile dressing is applied.Preparation & Expectations
What happens right after the procedure?
After the surgery, the person will be taken to the surgery recovery room to be watched closely for a short time. Vital signs, blood pressure, pulse, and breathing will be checked frequently. A bulky bandage and a scrotal support may be applied. Some discomfort may be experienced. Pain medication is given to decrease the discomfort. This surgery is usually done in a same day surgery setting, and the man is allowed to go home after recovering from anesthesia.Home Care and Complications
What happens later at home?
At home, the person will clean the wound and apply a new bandage as directed by the surgeon. The scrotum often swells significantly after surgery. The person should rest in bed as much as possible, and keep his scrotum elevated with a small pillow to reduce discomfort.What are the potential complications after the procedure?
There are complications with any surgery or anesthesia. These include bleeding, infection, and reactions to the anesthesia medications. Possible complications from this procedure include:Attribution
Author:Stuart Wolf, MD
Date Written:
Editor:Slon, Stephanie, BA
Edit Date:05/30/00
Reviewer:Gail Hendrickson, RN, BS
Date Reviewed:05/18/01
Professional Guide to Diseases, Sixth Edition. Springhouse: Springhouse Corporation, 1998.
The Merck Manual of Medical Information, Home edition, 1997 Griffith, H. Winter.
Instructions for Patients. Philadelphia: W.B. Saunders company, 1994.
Date Written:
Editor:Slon, Stephanie, BA
Edit Date:05/30/00
Reviewer:Gail Hendrickson, RN, BS
Date Reviewed:05/18/01
Sources
The Merck Manual of Medical Information, Home edition, 1997 Griffith, H. Winter.
Instructions for Patients. Philadelphia: W.B. Saunders company, 1994.
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