Even the suspicion of testicular torsion necessitates immediate testicular exposure!
Operative procedure as follows:
- Exposure of the testis
- Inguinal (“involving the groin area”) access: newborns, children with undescended testis
- Scrotal (” affect the scrotum”) access: all other patients.
- Detorquation (release of testicular torsion) and orchidopexy (surgical fixation of the testis in the scrotum) including the contralateral testis (“located on the opposite side or half of the body”); orchidopexy of the opposite side should always be performed either one- or two-sided.
- Restoration of perfusion (blood flow):
- Within 4-6 h → rescue of the testis.
- After 8-10 h ischemia (reduced blood flow) → necrosis(“death”) and complete atrophy (“tissue atrophy”); in case of testicular necrosis → orchiectomy (testicular removal) and contralateral (on the opposite side) orchidopexy (surgical fixation of the testis in the scrotum)
Other notes
- After per orchidopexy (opx) or orchiectomy and contralateral opx, no significant disruption of fertility is expected according to an Israeli study:
