Testicular Torsion: When to Seek Help and Self-Management Tips

Testicular torsion

I am a tall and thin person, and I frequently experience testicular torsion, but it always resolves on its own and is not painful.
The left side feels normal except that the epididymis is positioned in front.
(1) Under what circumstances should I seek medical attention? If it becomes painful? If the color changes? (2) How can I manually reduce it myself? (3) How can I improve this condition? Thank you.

Niming, 10~19 year old female. Ask Date: 2016/09/22

Dr. Sun Hongshun reply Urology

Hello, if you frequently experience testicular torsion, it is time to seek medical attention.
Prolonged occurrences may affect reproductive or erectile function.
It is advisable to visit a urology clinic for follow-up as soon as possible.

Reply Date: 2016/09/22

More Info

Testicular torsion is a serious medical condition that occurs when the spermatic cord becomes twisted, cutting off the blood supply to the testicle. This condition is considered a medical emergency and requires immediate attention. Understanding when to seek help, how to manage the situation, and what preventive measures can be taken is crucial for anyone who has experienced this condition.

When to Seek Help
1. Severe Pain: If you experience sudden, severe pain in one of your testicles, this is a classic symptom of testicular torsion. While you mentioned that you have experienced torsion without pain, it is important to note that any sudden onset of pain should prompt immediate medical evaluation.

2. Changes in Color: If the affected testicle changes color—becoming red, blue, or dark—this is a sign that blood flow has been compromised. This is a critical indicator that you need to seek emergency medical care.

3. Swelling: Any significant swelling of the scrotum or the testicle itself should not be ignored. Swelling can indicate inflammation or other underlying issues that require medical attention.

4. Nausea and Vomiting: Accompanying symptoms such as nausea or vomiting can also indicate a serious problem and warrant immediate medical evaluation.

Self-Management Tips
While self-management of testicular torsion is limited, there are a few steps you can take if you suspect you are experiencing this condition:
1. Manual Detorsion: If you have a history of torsion and are familiar with the sensation, you might attempt to manually untwist the spermatic cord. This should only be done if you are confident in your ability to do so and if you are not experiencing severe pain. The technique typically involves gently rotating the testicle outward (away from the body) and then inward. However, this is not a substitute for medical treatment, and you should seek help immediately afterward.

2. Avoid Strenuous Activity: If you have a history of torsion, it is advisable to avoid activities that could exacerbate the condition, such as heavy lifting or high-impact sports.

3. Cold Compress: Applying a cold compress to the area may help alleviate discomfort, but it is not a treatment for torsion itself.

Preventive Measures
1. Surgical Intervention: If you have experienced multiple episodes of testicular torsion, it is essential to consult with a urologist. They may recommend a surgical procedure called orchidopexy, which involves securing the testicle in place to prevent future torsion.

2. Regular Check-ups: Regular check-ups with a healthcare provider can help monitor any underlying conditions that may predispose you to torsion.

3. Awareness of Symptoms: Being aware of the symptoms and understanding the urgency of the situation can help you respond quickly if you experience any concerning signs.

Conclusion
In summary, testicular torsion is a medical emergency that requires prompt attention. If you experience severe pain, changes in color, swelling, or other alarming symptoms, seek immediate medical help. While there are limited self-management techniques, they should not replace professional medical evaluation and treatment. Preventive measures, including surgical intervention for recurrent cases, can significantly reduce the risk of future episodes. Always prioritize your health and consult a healthcare professional if you have any concerns regarding your condition.

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