instruction: hello doctor I am a 19 year old medical student this year I lost my right tests to testicular torsion resulting from late diagnosis as a precautionary measure a contralateral orchidopexy was also done this involving a part so intimately connected to me shattered me a lot and I am recovering slowly from that mental trauma besides the fear of a retorsion in the left one and its subsequent loss keeps lingering I am also concerned about orchidectomy impacts on my fertility and hormonal levels can you please allay my fears also my surgeon report says the left scrotum was exposed left tests exposed very mild hydrocele version of sac done using 0 monofilament suture left lateral wall of tests fixed with 0 monofilament suture at two points skin closed is this fine why was the sac everted and what about the hydrocele I have heard the 0 monofilament used was absorbable if so then how can those two sutures on the left tests prevent it from further torsion will there be some tissue formation eventually that will hold the tests in place or is it because by then the tests will get naturally attached to gubernaculum as I presume the sutures were made into tunic albuginea however I read somewhere that this might have impact on sperm production is it true lastly can I by any means ascertain whether my left buddy is fine at home by physical examination does the presence cremasteric reflex always rule out a possibility of necrosed tests
output: hello welcome to icliniq com first of all relax and do not worry at all we had done orchidectomy due to torsion in many patients they are absolutely fine and doing well physically as well as mentally having one tests remaining is perfectly fine you will have no problem regarding sperm production or testosterone levels your left tests can produce enough sperms for fertilization only one sperm is required for fertilization the surgeon has done a perfectly good job in the right tests version of the sac was done for hydrocele so that in future you do not develop hydrocele also fixation with 0 monocryl is perfect it just requires fixation at two points so that is cannot twist in the future if suture are absorbable also no problem as it will cause fibrosis at the suture site so your tests remains fixed in the correct position so do not worry everything is fine