Find

Learn More

After the Procedure

Following your surgery:

  • Pain medicine, rest, and ice packs will relieve pain and swelling after surgery.
  • Do not put the ice directly on your skin. Wrap it in a towel or cloth.
  • Rest at home for several days. You may wear a scrotal support for a week after surgery.
  • Avoid strenuous activity for 1 to 2 weeks. Slowly start doing your normal activities.
  • You may resume sexual activity after about 4 to 6 weeks.

Before the Procedure

Most of the time, this surgery is done as an emergency, so there is often too little time to have medical tests beforehand. You may have an imaging test (most often ultrasound) to check for blood flow and tissue death.

Most of the time, you will be given pain medicine and sent to a urologist for surgery as soon as possible.

Definition

Testicular torsion repair is surgery to untangle or untwist a spermatic cord. The spermatic cord is the collection of blood vessels in the scrotum that lead to the testicles. Testicular torsion develops when the cord twists. This pulling and twisting blocks blood flow to the testicle.

Description

Most of the time, you will get general anesthesia for testicular torsion repair surgery. This will make you asleep and pain-free.

To perform the procedure:

  • The surgeon will make a cut in your scrotum to get to the twisted cord.
  • The cord will be untangled from the testicle. The surgeon will then attach the testicle to the inside of your scrotum using stitches.
  • The other testicle will be attached in the same way to prevent future problems.

Outlook (Prognosis)

If surgery is done in time, you should have a complete recovery. When it is done within 12 hours after symptoms begin, the testicle can be saved most of the time.

If one testicle has to be removed, the remaining healthy testicle should provide enough hormones for normal male growth, sex life, and fertility.

Risks

Risks of this surgery are:

  • Bleeding
  • Infection
  • Pain
  • Wasting away of the testicle despite the return of blood flow
  • Infertility

Why the Procedure Is Performed

Testicular torsion is an emergency. In most cases, surgery is needed right away to relieve pain and swelling and to prevent the loss of the testicle. For the best results, surgery should be done within 4 hours after symptoms begin. By 12 hours, a testicle may become damaged so badly that it has to be removed.

Review Date: 8/26/2017
Reviewed By: Jennifer Sobol, DO, urologist with the Michigan Institute of Urology, West Bloomfield, MI. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

ADAM QualityA.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch).

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 9-1-1 for all medical emergencies. Links to other sites are provided for information only—they do not constitute endorsements of those other sites. © 1997-2010 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.