Patient's question:
How is testicular torsion treated? Now I'm constantly overthinking, making this condition seem very frightening to me because I don't understand the disease at all. I feel anxious and can't eat or sleep. How should testicular torsion be treated?Doctor's answer:
When orchidopexy does not affect fertility, no treatment is required. Segmental orchidopexy can be treated with epididymal tubule vas deferens anastomosis. Epididymal head cysts can be treated with aspiration under anesthesia and sclerotherapy, but due to a high recurrence rate, this method is less safe and reliable compared to surgical methods and is rarely used now. In cases of absence of the epididymis, treatment is not possible, and the main issue is to address fertility problems. If the patient has normal spermatogenesis in the testes, assisted reproductive technologies can be performed. In cases where orchidopexy is performed for split cryptorchidism due to orchidopexy malformation, the testes should be fixed promptly.