How long does it take for the testicles to die after being tightly tied?

Patient's question:

After 10 months of a hernia surgery, a scrotal hematoma occurred, followed by atrophy of the testicle on the same side. There is a sense of numbness and soreness from the groin to the buttocks. Is there still a way to save it? The ultrasound results indicate no blood flow signal in the scrotum on the same side. How long does it take for the testicle to die when tied tightly?

Doctor's answer:

The testicles won't easily necrose, and if they are inflamed, there will definitely be pain. Testicular necrosis refers to the death of internal tissues in the testicles, which can lead to atrophy but not disappearance of the testicles. Don't overthink it and live optimistically. You can check with a testicular ultrasound, as blood flow and other features can show specific signs. If the testicles are necrotic, they will need to be removed, otherwise there may be a risk of infection, leading to inflammation of the surrounding tissues.

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