The Testes After Torsion

Abstract

In torsion of the testis a large proportion of testes saved by surgery develop secondary atrophy. External manual reduction may be used as a first treatment, but surgical fixation is mandatory before the patient leaves the hospital. Prophylactic fixation of the contralateral testis should always be performed as 30% of the patients will otherwise develop symptoms. The preventive operation causes no discomfort to the patient and no harm to the testis. The fertility of the torsion patients is reduced. Patients treated for unilateral testicular torsion seem to have bilateral testicular abnormality resulting in decreased spermatogenesis.

Torsion of the testicular appendage. Sonographic diagnosis

“…Testicular torsion is of key concern because misdiagnosis may lead to loss of the testis or such sequelae as chronic pain and infertility. 3 Other differential diagnostic pos- sibilities include epididymitis, in a sexually active pop· ulation, and the less likely possibility of tumor.…”

Testicular Injury: Late Results of Semen Analyses After Uniorchiectomy

“…In the case of testicular injury, the survival of the injured testis is most important. Few reports exist about semen analyses after the operation [ 6 ] . In the present study, we investigated changes in the semen of four patients with testicular injury for a one year followup period after uniorchiectomy.…”

Long-term study of the immuno-pathological consequences of sympathetic orchiopathia in the rat

“…Human post-torsion patients have been demonstrated to be subfertile and oligo-asthenospermic (Krarup, 1978;Bartsch et ai, 1980;Chakraborty et ai, 1980;Thomas et ai, 1984 (Williamson & Thomas, 1984). The priority in such cases is therefore retrieval and resuscitation of any viable testicular tissue.…”