Orchidopexy for testicular torsion

Especially in children and adolescents, but also in adult men, sudden severe testicular pain can be caused by a twisting of the testicle. Testicular torsion is an emergency that must be treated by a urologist and operated on immediately. Through a small incision, the testicle is turned back into its normal position and then fixed in this position with sutures.

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Testicular torsion

Testicular torsion is a urological emergency in which the testicle rotates around the spermatic cord and the blood supply is cut off. If left untreated, the testicle can die within a few hours. This video provides all the important information.

  • Definition: In testicular torsion, the spermatic cord, which contains arteries, veins, nerves and the vas deferens, twists. This interrupts the blood supply to the testicle. Children, adolescents and young adults are frequently affected.
  • Symptoms: Sudden, severe testicular pain, often accompanied by nausea and vomiting. The testicle may be raised and very sensitive to pressure.
  • Treatment: Immediate surgical exposure of the testicle. The testicle is turned back and fixed in the scrotum with small sutures to prevent renewed twisting. Attempting to turn the testicle from outside is not recommended.
  • Goal: Securing the blood supply, preserving the testicle and preventing renewed torsion.

About this page:

Author

Prof. Dr. med. Sven Lahme
Urology specialist

Medical director of the Goldstadt-Privatklinik.
Specialist for Urology, Mini-PCNL and robot-assisted da Vinci procedures.

Member in Scientific Societies and Reviewer of scientific journals.

Creation Date: 08.03.2020Modification date: 26.11.2025

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