Patient's question:
I just came down and felt very hot, with severe pain in my right testicle. It has also moved higher than the left one, which scared me. I searched online and found it might be testicular torsion, requiring immediate medical attention. My dad is with me waiting for the doctor, and I want to understand the treatment options for this condition first.The help I need: What are the treatment methods for testicular torsion?
Doctor's answer:
1. After the diagnosis of testicular torsion is confirmed through surgical reduction, it is crucial to act promptly and perform immediate surgical reduction, striving to complete the procedure within 6 hours of symptom recurrence. After successfully reversing the torsed testicle, carefully observe the normal blood supply before performing interrupted debridement and fixation of the testicle, spermatic cord, and inner layer of the scrotal fascia to prevent postoperative complications. If it is found during surgery that the blood circulation of the testicle is extremely poor and cannot be fully restored after reduction, the testicle should be removed.2. Manual reduction is generally feasible in the early stages of the condition. First, administer analgesics and spasmolytics, and then gently perform manual reduction on the transposed and elevated testicle half an hour later. After successful reduction, secure the scrotum with a "T" bandage to allow the affected testicle to rest fully.