Testicular Torsion: Concerns and Long-Term Effects After Surgery - 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. This condition requires immediate surgical intervention to prevent permanent damage or loss of the affected testicle. After undergoing surgery for testicular torsion, it is common for patients to have concerns about the long-term effects and implications for their reproductive health.

Firstly, regarding your concern about the right testicle hanging lower than before, it is important to understand that some asymmetry in the position of the testicles can be normal. However, if the difference is significant or accompanied by pain, swelling, or other symptoms, it is advisable to consult your urologist for a thorough evaluation. The surgical procedure you underwent, which included testicular fixation (orchidopexy), aims to prevent future torsion by anchoring the testicle in place. While it is generally recommended to fix both testicles during surgery, the decision ultimately depends on the surgeon's assessment of the risk versus benefit for each individual case.
In your situation, the surgeon may have opted to fix only the affected testicle to avoid potential complications or functional impairment of the right testicle. The likelihood of torsion occurring in the other testicle is relatively low, but it is not impossible. Studies suggest that individuals who have experienced torsion in one testicle are at a slightly increased risk for torsion in the other testicle, particularly if there is an underlying anatomical predisposition. If you have concerns about this risk, discussing them with your urologist can provide clarity and reassurance.

Regarding your question about prolonged sitting and its effects on the testicles, it is essential to recognize that prolonged periods of sitting can lead to discomfort and potential issues related to blood flow. Sitting for extended periods can increase pressure in the pelvic region, which may affect the testicles. It is advisable to take regular breaks, stand up, and move around to promote circulation and reduce discomfort. Additionally, wearing supportive undergarments can help minimize any strain on the testicles during long periods of sitting.

In conclusion, while the surgery for testicular torsion is generally successful and the risk of long-term complications is low, it is essential to remain vigilant about any changes in your testicular health. Regular follow-ups with your healthcare provider are crucial for monitoring your recovery and addressing any concerns you may have. If you experience any unusual symptoms, such as severe pain, swelling, or changes in the appearance of your testicles, seek medical attention promptly. Your health and well-being are paramount, and maintaining open communication with your healthcare team will help ensure the best possible outcomes.