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Treatment of torsion of the testis

Treatment of torsion of the testis

Treatment of torsion of the testis

Treatment of torsion of the testis

Operations and procedures

If there is any doubt about the diagnosis, the scrotum should be explored without delay.

In the first hour or so, it may be possible to untwist the testis by gentle manipulation. If manipulation is successful, pain subsides and the testis is out of danger. Arrangements should be made for early operative fixation to avoid recurrent torsion.

On exploration, if the testis is viable when the cord is untwisted, it should be prevented from twisting again by fixing it with non-absorbable sutures between the tunica vaginalis and the tunica albuginea. The other testis should also be fixed because the anatomical predisposition is likely to be bilateral.

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Treatment of torsion of the testis

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