8 Facts Every Man Should Know About Testicular Torsion
If a man has had a testicular torsion, is it likely to happen again? Not really, especially if both testicles were tethered during surgery. Nonetheless, it's essential to be on the lookout for any similar symptoms as the original torsion (especially pain) and to seek medical treatment quickly, particularly if a man has only one testicle left.
Will testicular torsion affect your fertility? This is one of the most common questions concerning testicular torsion. It may surprise you to know that only one testicle is necessary to produce a normal amount of sperm and male hormones. Nonetheless, some studies have shown that men might have a lower sperm count or other sperm problems (such as lower motility) after having testicular torsion. Interestingly, one study of men who had experienced testicular torsions showed that the men who ended up needing a testicle removed surgically had healthier sperm, compared to men who were able to save the twisted testicle.
Men who have had a testicular torsion may also have higher levels of anti-sperm antibodies, which can attack and destroy sperm.
The bottom line is that testicular torsion can affect fertility, even if the testicle is saved. However, the only way to know for sure is to have a semen analysis (or to impregnate a woman). For birth control purposes, a man who has had a testicular torsion should consider himself fertile until proven otherwise.
If a testicle is removed surgically, the scrotum may not look normal. It may look lopsided and empty on one side. If this is very bothersome to a man, he may choose to get a testicular prosthesis. Like a small breast implant, a testicular prosthesis may restore a more normal look and feel to the scrotum. They are implanted surgically. Typically, a man must wait a few months after having a testicle removed before getting a testicular prosthesis.
A testicular prosthesis isn't medically necessary, and a prosthesis won't function at all like a real testicle (it won't produce sperm or male hormones). Sometimes complications occur either shortly after surgical implantation or sometime afterwards. Some men want to pursue this option, but many don't.