Torsion of the Appendices and Epididymis Treatment & Management

Updated: Oct 20, 2016
  • Author: Jason S Chang, MD; Chief Editor: Erik D Schraga, MD  more...
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Emergency Department Care

Necrotic tissue of the testicular appendices causes no damage other than damage to itself. Most cases, therefore, are treated conservatively. Pain usually resolves within 1 week but may persist for several weeks. Uncontrolled pain can be relieved by surgical excision of the appendix.

NSAIDs and ice are the mainstays of therapy for inflammation, and reduced activity and scrotal support are indicated.





If the diagnosis is unclear and testicular torsion cannot be ruled out or if pain persists, surgical exploration is warranted. [15]