Orchitis torsion doesn't require surgery?

Patient's question:

Doctor, hello! I came to the hospital this morning due to persistent and severe testicular swelling and pain. There was no testicular torsion, various inflammations, or hernia. It was considered to be epididymal torsion. Then the doctor said that epididymal torsion does not require surgery and can be fully recovered on its own. I would like to ask the doctor if this is really the case?

Doctor's answer:

Testicular torsion is a relatively serious condition with a rapid onset. It typically leads to testicular redness and swelling again within a few hours after the initial symptoms appear. Surgical correction is usually required to restore the testicle to its proper position. Regardless of the degree of torsion—whether mild or severe—it generally does not recover completely on its own. If a hospital examination confirms testicular torsion, prompt corrective surgery is necessary. While the condition can be stabilized with treatment, the recovery time is usually long, and recurrence is common. Therefore, during treatment, medication must be administered according to the symptoms. Additionally, patients should avoid prolonged sitting or riding.

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