The affected testicle may become larger, and it may become red or dark in color. Symptoms usually appear suddenly, although in some cases, the torsion can develop over a few days. It is important to seek emergency care for sudden or severe testicle pain. The signs and symptoms may be caused by another condition, but prompt treatment can prevent severe damage or loss of the testicle if it is testicular torsion.
If there is sudden testicle pain that goes away without treatment, it may be that a testicle has twisted and then untwisted without intervention. This is known as intermittent torsion and detorsion.
Even if the testicle untwists on its own, it is important to seek prompt medical help, because surgery may be needed to prevent the problem from happening again. The doctor will examine the scrotum, testicles, abdomen, and groin and will ask questions about symptoms to find out whether the problem is testicular torsion or another condition.
This normally causes the testicle to contract. This reflex probably will not occur if there is testicular torsion. If the diagnosis is uncertain, a urologist will be consulted immediately, to avoid compromising the health of the testicle.
Exploratory surgery may be necessary to identify whether symptoms are caused by testicular torsion or another condition. It surgery does not reveal torsion, the surgeon may still attach the testicle to the scrotum wall, to prevent future problems. If pain has lasted for several hours and the physical exam suggests testicular torsion, surgery may be performed without additional testing, to prevent the loss of the testicle.
Testicular torsion normally requires emergency surgery. If treated within hours, the testicle can usually be saved, but waiting longer can cause permanent damage and may affect the ability to father children. The operation is simple and minimally invasive. It is normally conducted under general anesthesia, and it does not usually require a stay in the hospital. The sooner the testicle is untwisted, the greater the chance of successful treatment.
After 6 hours, lasting damage may occur, and after 12 hours, there is a 75 percent chance of losing the testicle. After surgery, the patient will need to avoid strenuous activity and sexual activity for several weeks. Having testicles that can rotate or move back and forth freely in the scrotum is an inherited trait.
Some males have this attribute and others do not. You'll most likely be given a painkiller and general anesthesia , meaning you'll be unconscious for the surgery. A surgeon or urologist will make a small cut in the scrotum, untwist the spermatic cord, and stitch the testicles to the inside of the scrotum to prevent future torsions. When that's finished, the doctor will stitch up the scrotum, and the patient will be taken to a room to recover for an hour or two.
The surgery to attach the testicles to the scrotum takes about 45 minutes. There may be some pain, but it shouldn't be too bad. It's much better than the torsion. Sometimes, if the torsion goes on too long, doctors won't be able to save the affected testicle. Doctors will need to remove it through a type of surgery called an orchiectomy.
Guys need to skip strenuous activities like sports and sex or sexual stimulation like masturbation for a few weeks after testicular torsion surgery. Talk to your doctor about when it will be safe to go back to your normal activities. Guys who have a testicle removed might be able to get a prosthetic, or artificial, testicle a few months after the surgery. Most guys will still be able to father children later in life with one working testicle, but it can help some guys to feel more confident about their appearance if they have a prosthetic testicle.
If you've had a testicle removed, don't despair. It's not the end of the world. Chances are you'll still be able to father children and lead a perfectly normal life. In fact, if you do lose a testicle, nobody but you, your family, and the doctor ever need to know about it.
Reviewed by: T. Ernesto Figueroa, MD. Larger text size Large text size Regular text size. What Is Testicular Torsion? What Causes Testicular Torsion? Other symptoms include: swelling, especially on one side of the scrotum nausea and vomiting belly pain one testicle appears to be higher than the other What Should I Do?
Get Help Right Away Talking to someone about your private parts might seem a little embarrassing. The doctor also might do tests to see if the spermatic cord is twisted, including: Ultrasound. During the procedure, the surgeon detaches the testicle and the spermatic cord, which is attached to and protects the testicle from any surrounding tissue in the groin.
The testicle is then moved into the scrotum. If it appears that one or both testicles have not descended or have ascended after having previously been in the scrotum, make an appointment with a pediatrician. As your son gets older and learns more about his body, talk about the scrotum and testicles. Explain that there are usually two testicles in the scrotum, but if he has only one that it is a condition that can usually be treated.
It does not mean there is anything wrong with him. It simply means that one testicle is a little higher than where it should be located.
Teach your son how to check his own testicles. Tell him to gently feel around the scrotum. Doing this in a warm shower is helpful, as the scrotum will hang a little lower. Tell him if he notices any changes in his testicles to let you know. Getting into the habit of testicular self-checks will benefit him later in life as he checks for signs of testicular cancer.
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