Patient's question:
Please help the doctor answer this question. If the testicle does not recover well after testicular torsion surgery, I hope the expert can provide a detailed explanation. Thank you.Doctor's answer:
After testicular torsion, the symptoms include severe pain in the scrotum and testis, sudden recurrence of pain that is difficult to tolerate. There is significant scrotal swelling. Palpation reveals obvious tenderness. A careful examination of color Doppler ultrasound shows no blood flow signal in the distal testicular tissue. Emergency surgery is required. During the surgery, the scrotum is incised to confirm the diagnosis, and the reversed testis is repositioned. The distal torsed tissue, such as the testis, is carefully observed. If the color appears pale and cold compresses still fail to restore normal color, suppuration is suspected, and the testis and epididymis may need to be removed. If the color is purple with significant redness and swelling but incomplete necrosis, and the function returns after cold compresses, the testis can be repositioned. After careful observation for half an hour without signs of suppuration, a drainage tube is placed, and the wound is debrided.