Right Testicle Elevation: Is It Torsion or a Normal Variation? - Urology

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Is the right testicle twisted or affected by another condition?


Hello doctor, I recently noticed that my right testicle ascends slightly higher than the left one when the scrotum contracts (it feels closer to the penis).
When I walk, it is noticeably positioned in front.
When I touch it with my left hand, it feels enlarged, but it feels normal when I touch it with my right hand.
While massaging both testicles, there is no significant enlargement.
When sitting or lying down, the left testicle remains upright (also positioned in front).
Is this a problem, or is it a normal phenomenon? I'm unsure if it could be inflammation or torsion.

Bù zhī suǒ cuò de rén, 20~29 year old female. Ask Date: 2016/04/24

Dr. Li Xinyi reply Urology


It is unclear whether there is a hernia issue based on your description.
Doctors are unable to provide a definitive answer.
While seeking medical attention has become quite convenient, it is still necessary to visit a urologist for an examination and to discuss your concerns with the physician.

Reply Date: 2016/04/24

More Info


When it comes to the elevation of the right testicle, it is important to differentiate between normal anatomical variations and potential medical conditions such as testicular torsion or inflammation.
Firstly, it is normal for the testicles to have slight variations in position. The cremaster muscle, which is responsible for raising and lowering the testicles, can cause one testicle to appear higher than the other, especially during activities such as walking or physical exertion. This is a common physiological response and does not necessarily indicate a problem.
However, the symptoms you describe, particularly the noticeable elevation of the right testicle and the sensation of swelling when palpating, warrant further investigation. Testicular torsion is a serious condition that occurs when the spermatic cord becomes twisted, cutting off the blood supply to the testicle. This condition typically presents with sudden, severe pain, swelling, and often nausea. If torsion is suspected, it is considered a medical emergency, and immediate evaluation by a healthcare professional is necessary to prevent permanent damage to the testicle.

In your case, the fact that you are experiencing asymmetry in the elevation of the testicles, along with the sensation of swelling on one side, suggests that it would be prudent to seek medical attention. A healthcare provider will likely perform a physical examination and may order an ultrasound to assess blood flow to the testicle and rule out torsion or other conditions such as epididymitis (inflammation of the epididymis) or a hydrocele (fluid accumulation around the testicle).

It is also important to consider other factors that could contribute to your symptoms. For instance, if you have recently engaged in physical activity or experienced trauma to the area, this could also lead to temporary changes in the position of the testicles. Additionally, infections or inflammatory conditions can cause swelling and discomfort, which may mimic the symptoms of torsion.

In summary, while some variation in testicular position can be normal, the combination of symptoms you are experiencing—particularly the asymmetry and swelling—should not be ignored. It is advisable to consult with a healthcare professional for a thorough evaluation. Early diagnosis and treatment are key to addressing any potential issues effectively. If you experience severe pain, nausea, or any other alarming symptoms, seek emergency medical care immediately.

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