Testicular Torsion Repair
What is Testicular Torsion Repair ?
.
Why do you need Testicular Torsion Repair ?
Testicular torsion repair is indicated for:
- Testicular torsion:
- Sudden, severe testicular pain, swelling, and nausea; often unilateral.
- Incidence in India: 1 in 4,000 males under 25 years annually; peaks in adolescents (12–18 years).
- Cause: “Bell-clapper” deformity (abnormal testicular mobility; congenital in 90% of cases); can be triggered by trauma, activity, or occur spontaneously.
- Urgency:
- Emergency: 90% chance of saving testicle if repaired within 6 hours; 50% within 12 hours; <10% after 24 hours.
- Associated conditions:
- Intermittent torsion (recurrent, self-resolving episodes; needs elective fixation).
- Torsion in undescended testicle (rare, higher risk; related to your orchiectomy query).
- Associated treatments:
- Orchiectomy (if testicle non-viable; 10–20% of cases if delayed presentation).
- Orchiopexy (fixation) of both testicles to prevent future torsion (standard practice).
- Timing:
- Performed in adolescents (12–18 years) or young adults; immediate surgery required upon diagnosis.
The procedure aims to untwist the testicle, restore blood flow, and prevent recurrence by fixing the testicle(s) in place, with a high success rate if performed within the critical time window.
Why Do Testicular Torsion Repair Costs Vary in Philippines?
.
Testicular Torsion Repair Procedure
- Before Surgery Evaluation:
- Assessment:
- Physical exam: High-riding testicle, absent cremasteric reflex, severe tenderness.
- Ultrasound: Doppler to confirm reduced blood flow (90–95% accurate); not always needed if clinical suspicion is high (delays surgery).
- Blood tests: Not typically required (emergency); blood sugar, clotting profile if time permits.
- Preparation: Emergency setting; no time for fasting or stopping medications; consent obtained quickly.
- Consent: Risks, including potential orchiectomy, are explained.
- Assessment:
- Surgical Technique:
- Testicular Torsion Repair:
- Performed under general or spinal anesthesia, lasting 30–60 minutes.
- Process:
- Scrotal incision (3–5 cm, midline or transverse) to access testicle.
- Spermatic cord untwisted (usually counterclockwise; 180–720° twist common); testicle assessed for viability (color, bleeding after 5–10 minutes).
- Viable testicle: Fixed to scrotum (orchiopexy) with non-absorbable sutures (e.g., 3–4 stitches to dartos muscle).
- Non-viable testicle: Removed (orchiectomy, 10–20% of cases if >12 hours delay).
- Contralateral testicle: Orchiopexy performed to prevent future torsion (50% risk without fixation).
- Closure: Sutures in layers; absorbable sutures for skin; no drain typically needed.
- Intraoperative Tools:
- Doppler probe: Confirms blood flow restoration intra-op (if available).
- Warm saline: Applied to testicle to aid recovery during assessment.
- Testicular Torsion Repair:
- After Surgery:
- Hospital stay: 1–2 days.
- Care: Ice packs to reduce swelling; supportive underwear; avoid heavy lifting for 4–6 weeks.
- Pain management: Moderate pain for 3–5 days; managed with painkillers (e.g., ibuprofen).
- Instructions: Monitor for swelling or infection; follow-up to assess testicular function.
Recovery After Testicular Torsion Repair
- Hospital Stay: 1–2 days.
- Post-Surgery Care:
- Pain/Swelling: Moderate pain for 3–5 days; swelling resolves in 1–2 weeks.
- Activity: Avoid strenuous activity for 4–6 weeks; light activities in 3–5 days.
- Incision: Sutures (if non-absorbable) removed in 7–10 days; scar fades in 3–6 months.
- Testicular function: If saved, 90% regain normal function (within 6 hours); fertility preserved if unilateral.
- Hormone effects: Bilateral torsion (rare) or orchiectomy may reduce testosterone (if unilateral, other testicle compensates in 80–90% of cases).
- Follow-Up:
- Visits at 1 week (check healing), 1 month, and 3 months (assess testicular function).
- Ultrasound: At 1–3 months to confirm testicle viability and blood flow.
Most resume normal activities in 1–2 weeks; full recovery takes 4–6 weeks. Success rate: 90% testicular salvage if repaired within 6 hours; 50% within 12 hours; prevents recurrence with orchiopexy.
Risks and Complications
- Surgical Risks:
- Bleeding (1–3%): Hematoma in scrotum; may resolve or need drainage.
- Infection (1–3%): At incision site; treated with antibiotics.
- Anesthesia risks (<1%): Reaction to anesthesia; rare in healthy patients.
- Post-Surgery:
- Swelling (5–10%): Scrotal edema; resolves with ice and elevation.
- Testicular atrophy (5–10%): If delayed repair (>12 hours); testicle shrinks, loses function.
- Chronic pain (1–2%): At incision site; usually temporary, managed with painkillers.
- Recurrence (<1%): If orchiopexy fails; rare with proper fixation.
- Long-Term:
- Fertility impact (5–10%): Reduced if unilateral atrophy; bilateral torsion (rare) may cause infertility.
- Testosterone decline (<1%, unilateral): Minimal impact; bilateral cases may need replacement therapy.
Report fever, severe swelling, heavy bleeding, or persistent pain promptly.
Frequently Asked Questions (FAQs)
What causes testicular torsion?
“Bell-clapper” deformity (congenital); triggered by trauma, activity, or spontaneously.
Can I avoid surgery for testicular torsion?
No: Emergency surgery required; manual detorsion (rarely successful) may temporize but needs fixation.
Is testicular torsion repair painful?
Moderate pain for 3–5 days, managed with medication; resolves in 1–2 weeks.
How soon can I resume normal activities?
Light activities: 3–5 days; full recovery: 4–6 weeks; avoid strenuous activity for 4–6 weeks.
Is testicular torsion repair covered by insurance in India?
Often covered (emergency); confirm with your provider; Ayushman Bharat often subsidizes.
Signs of complications?
Fever, severe swelling, heavy bleeding, or persistent pain.
Will my fertility be affected?
Unilateral: 90% retain fertility (other testicle compensates); bilateral or delayed repair may impact fertility.
Lifestyle changes post-surgery?
Avoid trauma to scrotum, wear supportive underwear during activity, and attend follow-ups.
Conclusion
.
Looking for Best Hospitals for Testicular Torsion Repair
Note: we are not promoting any hospitals
We do not promote any hospitals. All details are sourced from Google and hospital websites. Please verify independently. Start with your surgery—here’s the list of government, budget, and superspecialty hospitals accredited by the Department of Health (DOH), Philippine Health Insurance Corporation (PhilHealth), and Joint Commission International (JCI)
- click on your city and schedule your surgery now done in good hands.
| City | Minimum Price (₱) | Maximum Price (₱) |
|---|---|---|
|
Angeles City |
|
|
|
Antipolo |
|
|
|
Bacolod |
|
|
|
Bacoor |
|
|
|
Baguio |
|
|
|
Butuan |
|
|
|
Cagayan de Oro |
|
|
|
Caloocan |
|
|
|
Cebu City |
|
|
|
Dasmariñas |
|
|
|
Davao City |
|
|
|
General Santos |
|
|
|
General Trias |
|
|
|
Iligan |
|
|
|
Iloilo City |
|
|
|
Las Piñas |
|
|
|
Makati |
|
|
|
Malolos |
|
|
|
Manila |
|
|
|
Muntinlupa |
|
|
|
Parañaque |
|
|
|
Pasay |
|
|
|
Pasig |
|
|
|
Puerto Princesa |
|
|
|
Quezon City |
|
|
|
San Fernando |
|
|
|
San Jose del Monte |
|
|
|
Taguig |
|
|
|
Valenzuela |
|
|
|
Zamboanga City |
|
|
Disclaimer
This information is sourced from open platforms and is for general awareness only. Costs may vary based on individual cases. Please consult a qualified doctor for medical advice and explore options within your budget before deciding on the procedure.