My husband, 31, was diagnosed with testicular torsion two weeks ago and underwent surgery to repair and fix the testicle. He was in pain for 4 days prior to the right diagnosis, but incredibly, they were able to salvage it. Is it okay to resume sexual activity after two weeks, as the steady pain went away, but some movements are still painful? The “torsed” side is still bigger than before, but smaller than a week ago.
And did the increase of temperature caused by the whole thing killed all the spermatozoides and he’ll be fertile again only in 3 months? We are so hoping for a pregnancy soon… after the loss of twins in December.
Thank you!
Testicular torsion is one of the few emergencies we encounter in urology. If the patient seeks immediate attention and the problem can be addressed within 6-8 hours, then the testicle can usually be salvaged. A patient can lose his testicle if the problem is neglected or immediate treatment is not sought. However, there can be long-term consequences with respect to fertility even if the testicle is saved. People who have testicular torsion can develop anti-sperm antibodies. Anti-sperm antibodies have been implicated in fertility problems of men with relatively normal semen parameters and after vasectomy reversal. Also, transient decreases in sperm counts and motility can be seen after an acute event such as torsion. New sperm are produced continuously and take approximately three months to complete the process.
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