Testicular Torsion (cont.)
IN THIS ARTICLE
When Should I Call the Doctor for Testicular Torsion?
Testicular swelling and pain should be evaluated on an emergent basis. The evaluation is best done in an emergency room, where rapid imaging is available and there is quick access to surgical intervention. There is about a six-hour window for the testicle to be salvaged; surgical treatment within this time frame is associated with a 100% salvage rate for the testicle. After six hours, the salvage rate decreases, and if surgical repair is performed after 24 hours, the testicle is no longer salvageable.
What Questions Should I Ask the Doctor about Testicular Torsion?
You should notify your doctor immediately of your condition and ask where your doctor wants you to be evaluated. You may also ask your doctor to notify a urologist in the event surgery is needed.
What Are the Exams and Tests to Diagnose Testicular Torsion?
The typical physical exam of the torsed testicle reveals a painful scrotum with one-sided testicular swelling and elevation. Lab tests may include a urinalysis and blood count. The scrotum may also be imaged by one or more radiologic studies. Imaging may include a Doppler ultrasound of the testicles or a nuclear scan of the testicles to assess the degree of blood flow. Depending on the physical exam, and/or the time frame, imaging may not be done, since emergent treatment is essential to preserve the testicle.
What Is the Treatment for Testicular Torsion?
The only treatment for testicular torsion is surgery. On rare occasions, a physician may be able to manually untwist the testicle, but this is not common. The importance of having testicular pain evaluated immediately cannot be overemphasized.
What Are the Home Remedies for Testicular Torsion?
Care at home is inappropriate and will only result in the loss of the testicle.
What Is the Medical Treatment for Testicular Torsion?
If your doctor suspects torsion, a urologist will be notified. Depending on your history and physical, you may either be brought to the operating room or you may have imaging done. Occasionally a testicular torsion may be manually detorsed (untwisted by hand) by a physician.
Medically Reviewed by a Doctor on 11/15/2016
Clifford Spanierman, MD
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