Patients often ask if manually untwisting the testicle is possible, avoiding surgery. That's called manual detorsion. And in rare circumstances, it may be possible to untwist the testicle to restore blood flow, but it's never a permanent solution. Why? Because that testicle has shown itself to be anatomically prone, to twist again in the future. So at least a minor surgical procedure to secure the testicle and prevent it from twisting in the future will be required.
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