What is the definitive treatment for testicular torsion?

The definitive treatment for testicular torsion is surgical exploration. Testicular torsion is an emergency condition that occurs when the spermatic cord becomes twisted, cutting off the blood supply to the testicle. Time is of the essence in this situation; if the torsion is not resolved quickly, it can lead to testicular necrosis and loss of the affected testicle.

Surgical exploration serves two main purposes: it allows for the untwisting of the spermatic cord to restore blood flow, and it can also involve fixation of the testicle (orchidopexy) to prevent future occurrences. This immediate surgical intervention is necessary not only to salvage the testicle if possible but also to alleviate the acute pain and potential complications associated with this condition.

While medical management and conservative approaches might help in some scenarios involving other conditions, they are inadequate for testicular torsion, where prompt surgical action is essential. Color Doppler ultrasound can be useful for diagnosis, assessing blood flow to the testicle, and determining the urgency of the surgical intervention, but it does not treat the underlying issue. Therefore, surgical exploration is the most appropriate and definitive course of action for addressing testicular torsion.