What is the typical treatment for testicular torsion?

The typical treatment for testicular torsion involves detorsion of the spermatic cord followed by orchidopexy, which is the surgical procedure that secures the testicle in place to prevent future occurrences. This approach is critical because testicular torsion is a surgical emergency; prompt intervention is necessary to preserve testicular viability and prevent necrosis due to a compromised blood supply.

During the procedure, the surgeon untwists the cord to restore blood flow and then stitches the testicle to the scrotum to keep it anchored. This is key in addressing not just the immediate problem but also in preventing recurrence, which is common if the testicle is not secured.

Other treatment options are inappropriate for several reasons. Immediate orchiectomy is an extreme measure typically reserved for cases where the testicle is already nonviable and cannot be salvaged. Watchful waiting is not suitable because testicular torsion is a time-sensitive condition needing urgent intervention. Lastly, antibiotics and analgesics alone do not address the underlying issue of the torsion and would not rectify the compromised blood flow to the testicle.