After 2 weeks, what is the right treatment for torsion?

Hi,

Welcome to icliniq.com.

The need for orchidectomy can be discussed, but the need for right side fixation, that is, orchidopexy, is compulsory to avoid mishap on the other side also.

One testis is enough for sexual characteristics and to bear a child. In the same sitting, both testes can be evaluated. If the left testis with long-duration torsion is still swollen or painful, then it would be prudent to remove that. But, vital is the fixation of the opposite testis.

What is the Doppler study of the scrotum saying at present?

I hope this helps.

Please revert in case of further queries.

Thank you.

Hi,

Welcome back to icliniq.com.

From the reports (attachment removed to protect patient identity), the left testes will mostly end up in an orchiectomy. If you do not get it removed, it is going to be self-necrosed, and after a year, you will be left with only a grain-sized testis on the left.

Now, after removing the left testes, the left hemiscrotum is going to be empty. I have observed that 80 % female sexual partners fail to appreciate this loss of one testis, and even if they notice, they do not attach so much importance to it, as a single testis is enough to keep you manly and help you to make your wife bear children.

Just avoid sports with the risk of injury to your left testicle. The other option is to put a testicular prosthesis of the same size as the opposite one. But it cannot match the natural feel as it becomes noticeable on palpation.

I hope this helps.

Please revert in case of further queries.

Thank you.