8 hours of testicular torsion is a great opportunity to save lives. There are three methods to treat testicular torsion

Clinical data show that testicular torsion is not rare and can occur at all ages, but the highest incidence rate is among adolescents. Testicular torsion is often caused by prolonged ischemia, which disrupts testicular spermatogenesis and endocrine function, leading to serious consequences such as testicular atrophy and necrosis.

Experts point out that the ischemia situation after testicular torsion is related to the degree and duration of torsion. The greater the degree of torsion, the more severe the ischemia, and the less chance of rescue.

According to research reports by medical experts, testicular ischemia for 1 hour results in reversible damage; After 5 hours of ischemia, most of the testes are still salvageable; Over 8 hours, inevitable testicular necrosis occurs; If it exceeds 24 hours, the function of the affected testicle may be permanently lost.

Testicular torsion is prone to occur during nighttime sleep or early morning hours. Especially after boys enter puberty, the nighttime erection of the penis increases, accompanied by local muscle contraction, which can cause testicular rotation.

Those boys with potential congenital dysplasia, such as excessive or absent gubernaculum, high fixation point of spermatic cord, cryptorchidism, or cryptorchidism with oblique hernia, have increased testicular activity when the penis is erected at night, which is easy to reverse, and symptoms will appear when the penis cannot recover by itself.

Most patients with testicular torsion will suddenly experience swelling and tenderness of one side of the scrotum, thickening of the spermatic cord, and pain can involve the lower abdomen, groin, or thigh. Some patients may also experience symptoms such as nausea, vomiting, fever, and difficulty walking.

In daily life, many men are careless about testicular torsion and endure the pain again and again, resulting in delayed early treatment and individual loss of fertility, leading to lifelong misfortune. Dawn experts suggest that once testicular torsion occurs, especially in adolescents, it should be immediately relieved to restore testicular blood supply, in order to save the testicles and prevent complications.

In the early stage of testicular torsion, manual reduction can be used. However, due to the fact that the testicles after manual reduction have not been fixed, there is still a possibility of re torsion, and manual reduction is difficult to determine the ischemic condition of the testicles. Therefore, it is recommended to go to a professional male hospital for examination and treatment in a timely manner, and adopt surgical treatment. In addition, after treatment, a doctor should be consulted for routine semen examination to understand the function of the diseased testicles and the contralateral testicles, which is more important for unmarried young men.

What are the methods for treating testicular torsion

Surgical reduction

Once the diagnosis is confirmed to be testicular torsion, which has not exceeded 12 hours, manual reduction can be immediately attempted for correction. Manual reduction may relieve torsion and restore testicular blood supply for selective surgery in the future. When resetting, 5-10ml of 1% lidocaine is injected into the periphery of the spermatic cord at the outer ring for block anesthesia, and the reset is performed 5 minutes later. There is a knot like change in the palpable torsion of the spermatic cord, which can disappear immediately after successful restoration in the opposite direction. The pain also quickly alleviates. Selective testicular fixation can be postponed to within 48 hours.

Surgical exploration and testicular fixation

If manual reduction fails, or testicular necrosis is suspected, or the diagnosis of testicular torsion cannot be ruled out, scrotal exploration should be performed immediately. It is important to prevent inappropriate delays caused by special examinations, as testicular necrosis is related to testicular torsion time. Research data shows that patients who undergo surgery within 4 hours of symptom onset can achieve the best results. Torsion lasts for 8 hours or more, and the occurrence of testicular atrophy in the later stage will significantly increase. However, after 24 hours of torsion, saving the testicles is no longer meaningful.

Contralateral testicular fixation

Male experts recommend that for all patients with testicular torsion, contralateral testicular fixation surgery should also be performed simultaneously. Because almost all such patients have anatomical defects in both testicles and scrotum, there is a risk of contralateral torsion in the future. During surgery on the affected side, it is not appropriate to only sew a few needles on the septum of the contralateral testicle. Standard surgical procedures should be performed. Suture the upper, middle, and lower parts of the testicles onto the sarcolemma using an absorbable thread, so that the testicles still have sufficient mobility without twisting.