What are the side effects of testicular torsion surgery?

Testicular torsion is very painful for patients, because it is mostly caused by external factors. Testicular torsion is more likely to have sequelae after surgical treatment if it is not properly cared for. You may wish to take a look.

1. If the patient can undergo surgery within 4 to 8 hours after testicular torsion and undergo contralateral testicular fixation, the prognosis of testicular torsion is good. With the increased vigilance of this lesion and the enhanced awareness of emergency treatment, the testicular rescue rate has greatly improved in the past 10 years. However, this success rate is based on the subjective judgment of some surgeons during the operation. To evaluate the actual rescue rate, long-term follow-up after surgery is required.

2. The results of current follow-up studies are not optimistic. According to statistics, 2/3 of patients suffer from testicular atrophy 2 years after torsion and reduction surgery. The degree of atrophy is related to the duration of torsion. 80% to 94% of patients with unilateral testicular torsion were evaluated for spermatogenesis. The results of semen analysis showed that their semen volume, sperm count, motility and survival rate were abnormal, indicating that the opposite testicle also had functional abnormalities. In patients who had undergone removal of the torsion-damaged testicle, most of the lateral testicular biopsy and semen analysis were within the normal range, suggesting that retaining the ischemic damaged testicle may damage the spermatogenesis of the healthy testicle.

When the testicle torsions, a certain protein may be released into the circulatory system, leading to the production of antitesticular antibodies, which may damage the healthy testicle. This testicular autoimmunity theory is still a hypothesis and needs to be verified by more sophisticated immune response tests. Some scholars also believe that testicular dysfunction may have existed before the torsion occurred, and the histological changes may show the original abnormality of the testicle.

Postoperative care.

After the child returns to the ward, follow the routine postoperative care of the surgery department. Closely observe the incision, pay attention to whether there is local bleeding and hematoma, and prevent the child from crying. Stay in bed for 5-7 days and avoid getting out of bed too early. For young children, pay attention to prevent the dressing from being contaminated by urine and feces. If it is soaked, change it in time. After the testicle is relocated, pay attention to observe the color of the scrotal skin and whether there is local redness, swelling and pain.