twisted testicles

testicular torsion, to put it mildly, is a terrible condition. the testis twists around on its axis, cutting off its own blood supply. over and above the excruciating pain, if it is not operated within about six hours of it happening, well then you can pretty much kiss that testis goodbye. and to make things worse, it strikes young boys who have just entered puberty while they are awkward and unsure of themselves. it is seldom that they ask for help until long after it is all to late. at least that makes the operation easy... you simply cut out the necrotic testis, easy as pie. but at the operation, it is always important to remember that if the one testis has twisted, the other one tends to follow suit in due course, so, while chopping out the twisted testis, it is absolutely imperative that you suture the other testis to the scrotum so that it can't twist. of course if you omit this step, in all probability, in a few years time, the poor awkward teen is going to loose his second testis and this is really going to mess with his mojo, pretty much for the rest of his life.but testicular torsion is not something that i deal with all that much. you see the condition falls into the realm of the urologists and if these humble creatures are to be found in your local hospital, then torsions go their way. however, even mighty urologists need to take time off. then us humble general surgeons step up and cut out on their behalf. recently i was put in this position and handled a testis ...
Source: other things amanzi - Category: Surgery Authors: Source Type: blogs