Can Testicular Torsion Recur After Surgery? Risks and Concerns - Urology

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Testicular torsion is a serious medical condition that occurs when the spermatic cord becomes twisted, cutting off the blood supply to the testicle. Surgical intervention is often required to untwist the cord and secure the testicle in place, a procedure known as orchidopexy. After undergoing this surgery, many patients have concerns about the possibility of recurrence and the implications for sexual activity.

To address your primary concern, yes, testicular torsion can recur after surgery, although the risk is generally low. The surgical procedure aims to secure the testicle to the scrotum, which significantly reduces the likelihood of torsion. However, there are instances where the fixation may not hold, or anatomical variations may predispose an individual to torsion again. Factors such as age, testicular anatomy, and any underlying conditions can influence the risk of recurrence.

Regarding your experience of feeling discomfort or a "weird" sensation in the testicle after masturbation, it is essential to differentiate between normal post-operative sensations and potential complications. After surgery, it is common for patients to experience some degree of discomfort or sensitivity as the tissues heal. However, if you are experiencing significant pain, swelling, or any other unusual symptoms, it is crucial to consult your healthcare provider. They can perform a physical examination and possibly imaging studies to rule out any complications, such as fluid accumulation or recurrent torsion.

As for sexual activity, engaging in sexual intercourse should not inherently cause the testicle to become displaced or twisted again. However, vigorous movements or trauma to the area can potentially lead to discomfort or complications. It is advisable to approach sexual activity with caution, especially in the initial months following surgery. If you notice any pain or unusual sensations during or after sexual activity, it is best to refrain from further activity and seek medical advice.

In summary, while the risk of testicular torsion recurring after surgery is low, it is not entirely absent. If you experience any concerning symptoms, it is essential to consult with your urologist or healthcare provider for a thorough evaluation. Regular follow-ups and open communication with your doctor can help address any concerns and ensure your reproductive health remains optimal. Remember, your health and peace of mind are paramount, so do not hesitate to seek medical attention if you feel something is not right.