Testicular Rotation: When to See a Urologist

Testicular issues

Hello, doctor.
I would like to ask if frequent 180-degree rotation of the testicles (for example, when standing, the testicles are in a vertical position and then rotate 180 degrees counterclockwise) could lead to testicular torsion.
Two days ago, while taking a shower, I accidentally experienced this situation, but I only felt tightness without any other abnormalities.
Should I go to a urologist for an examination?

Oreo, 20~29 year old female. Ask Date: 2021/08/15

Dr. Li Xinyi reply Urology

Based on your description, there seems to be no issue.
Testicular torsion is more likely to occur in boys around their teenage years, and when it happens, the symptoms are quite pronounced, including redness, swelling, and pain.
If you are very concerned, it is advisable to visit a urologist for an examination and further discussion with the doctor.

Reply Date: 2021/08/15

More Info

Testicular torsion is a medical emergency that occurs when the spermatic cord becomes twisted, cutting off the blood supply to the testicle. This condition can lead to severe pain and, if not treated promptly, can result in the loss of the affected testicle. Understanding the mechanics of testicular rotation and torsion is crucial for recognizing when to seek medical attention.

In your case, you mentioned experiencing a rotation of the testicle by 180 degrees while standing, which could potentially lead to torsion. The testicles are normally suspended in the scrotum by the spermatic cord, and they can move to some extent. However, excessive movement or abnormal positioning can increase the risk of torsion. If the testicle rotates significantly, it may twist around the spermatic cord, leading to torsion.

The symptoms of testicular torsion typically include sudden, severe pain in the scrotum, swelling, nausea, and sometimes vomiting. In some cases, the affected testicle may appear higher in the scrotum than the other one. However, it is important to note that not all cases of torsion present with classic symptoms, and some individuals may experience only mild discomfort or a feeling of tightness, as you described.

Given that you experienced a tight sensation without severe pain or other alarming symptoms, it may not be an immediate cause for concern. However, it is essential to be vigilant. If you notice any worsening of symptoms, such as increasing pain, swelling, or changes in the appearance of the testicle, you should seek medical attention immediately.
In general, if you have any concerns about testicular health or experience unusual symptoms, it is advisable to consult a urologist. They can perform a physical examination and may recommend imaging studies, such as an ultrasound, to assess blood flow to the testicle and determine if torsion or another condition is present.

In summary, while a tight sensation alone may not warrant immediate concern, it is crucial to monitor your symptoms closely. If you experience any significant changes or worsening of your condition, do not hesitate to seek medical advice. Early intervention is key in preventing complications associated with testicular torsion.

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