Seminal fluid changes after testicular torsion

Area of Science:

• Urology
• Andrology
• Reproductive Medicine

Background:

• Testicular torsion is a surgical emergency.
• Unilateral testicular torsion can impact contralateral testicular function and seminal parameters.

Purpose of the Study:

• To investigate seminal fluid changes in adult patients with unilateral testicular torsion.
• To evaluate the impact of testicular infarction and management on seminal quality.

Main Methods:

• Analysis of seminal fluid parameters in adult patients with unilateral testicular torsion.
• Comparison of outcomes based on whether the infarcted testis was excised or retained.

Main Results:

• Significant changes were observed in the seminal fluid of patients with unilateral testicular torsion.
• Excision of an infarcted torsive testis demonstrated a beneficial effect on seminal parameters.
• Retaining an infarcted torsive testis resulted in a deleterious effect on seminal quality.

Conclusions:

• Management strategy for testicular torsion influences seminal fluid quality.
• Early surgical intervention, including excision of infarcted testes, is crucial for preserving reproductive potential in adult males.