Related Questions

What is atraumatic scrotal pouch orchiopexy in the management of testicular torsion? Is it better than permanent insoluble sutures

In theory, Yes. Goals of testis torsion surgery: undo torsion in timely fashion to preserve testicular function and fixate both testicles so that torsion will not recur. Traditionally, fixation done by placing 2-3 sutures thru testicle and adjacent inner scrotal wall. Some feel these fixation sutures may cause some damage. Unknown. Placing testicle in 'dartos' pouch avoids need for placing sutures. Better? Read more...
Not standard care. Accepted standard of care for testicular torsion is a simple scrotal incision, entering each hemi-scrotal compartment sequentially, starting with the tossed testicle ; pexing (attaching) each testicle to inner scrotal wall with permanent insoluble sutures. Pouch orchidopexies are 4 small undescended testes ; not for fully developed tossed testes. Read more...
Unnecessary... To fix testis in subdartos pouch is selectively applied to managing undescended testis. And it's unnecessary for twisted testis but just suturing and fixing it with 2-3 non-absorbable stitches to dependent corresponding spots of dartos muscles. Read more...

Is testicular torsion treated with orchiopexy?

Testicular fixation. otherwise known as scrotal orchidopexy/orchiopexy (both spellings are correct. Of course testis must first be untwisted. Both testicles should be fixed as anatomy making testis prone to torsion is usually similar on both sides. Read more...

Is it safe to use regional anathesia for testicular torsion surgery?

Very safe. but testicular torsion needs quick emergency surgery , time is essence , quick un-twisting is required , unless contra indicated , usual preferred method is general anesthesia , some times spinal. In presence of twisted cord and painful condition local field block is also difficult .Speak to your anesthesiologist and surgeon . Read more...

What are the common causes of testicular torsion? Undergone orchipexy & orchiectomy. Lost the left bec. Of misdiagnosis. Phantom pain still occurs.

Testicular torsion. Testicular torsion is a developmental abnormality. There is failure of the testicle to attach to the scrotal wall, also it can occur because there is a loose attachment of the epididymis to the testis, bell clapper deformity. Phantom pain can be relieved sometimes by injecting a long acting local anesthetic into the cord or using alcohol injection into cord. Read more...
No common cause. Anatomy is important. You can be born with a predisposition to get torsion. Main symptoms are sudden severe testicular pain with nausea and vomiting. If not surgically repaired within a few hours of onset of pain, the testicle can die. Read more...