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Torsion Testis

Intro

Testicular swelling and pain should be evaluated on an emergent basis. The evaluation is best done in an emergency room, where rapid imaging is available and there is quick access to surgical intervention. There is about a six-hour window for the testicle to be salvaged; surgical treatment within this time frame is associated with a 100% salvage rate for the testicle. After six hours, the salvage rate decreases, and if surgical repair is performed after 24 hours, the testicle is no longer salvageable.

Questions to Ask the Doctor

You should notify your doctor immediately of your condition and ask where your doctor wants you to be evaluated. You may also ask your doctor to notify a urologist in the event surgery is needed.

Next Steps

After surgery, the patient will learn if the testicle was able to be salvaged.

Follow-up

The surgeon will inform the patient as to when follow-up is needed.

Prevention

The orchiopexy should prevent further episodes of torsion.

Outlook

Fertility should be maintained even after the loss of one testicle. There will be no apparent changes noted physically besides the loss of the testicle.

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