What is the recommended treatment for potential testicular torsion?

The recommended treatment for potential testicular torsion is detorsion and orchiopexy of both testicles. Testicular torsion is a surgical emergency characterized by the twisting of the spermatic cord that supply blood to the testicle, which can lead to ischemia and necrosis if not addressed quickly.

When torsion is suspected, it's critical to preserve the affected testicle by restoring blood flow. Detorsion, which involves untwisting the spermatic cord, is a necessary first step to alleviate the immediate problem. Following successful detorsion, orchiopexy is performed on both testes to prevent recurrence of the torsion; it involves securing the testicles within the scrotum. This dual approach not only treats the current torsion but also protects against future episodes, particularly since the contralateral testis may also be at risk for similar issues.

Other approaches, such as simply observing the condition or applying a support bandage, would not adequately address the urgent nature of testicular torsion and could allow for potential complications, including loss of the testicle. Immediate orchidectomy would unnecessarily remove a potentially viable testicle, which is not indicated unless the testicle is already necrotic. Therefore, the combination of detors