Treatments and drugs

By Mayo Clinic Staff

Surgery is required to correct testicular torsion. In some cases, the doctor might be able to untwist the testicle by pushing on the scrotum (manual detorsion). But you'll still need surgery to prevent torsion from occurring again.

Surgery for testicular torsion is usually done under general anesthesia. During surgery, your doctor will make a small cut in your scrotum, untwist your spermatic cord, if necessary, and stitch one or both testicles to the inside of the scrotum.

The sooner the testicle is untwisted, the greater the chance it can be saved. The risk that you'll need testicle removal is 5 percent when treatment occurs within six hours of the start of pain. The risk increases to 90 percent when treatment occurs more than 48 hours after pain begins.

Testicular torsion in newborns and infants

Testicular torsion can occur in newborns and infants, though it's rare. The infant's testicle might be hard, swollen or a darker color. Ultrasound might not detect reduced blood flow to the infant's scrotum, so surgery might be needed to confirm testicular torsion.

Treatment for testicular torsion in infants is controversial. If a boy is born with signs and symptoms of testicular torsion, it might be too late for emergency surgery to help and there are risks associated with general anesthesia. But emergency surgery can sometimes save all or part of the testicle and can prevent torsion in the other testicle. Treating testicular torsion in infants might prevent future problems with male hormone production and fertility.

Feb. 04, 2016