Testicular Pain: Long-Term Effects and Concerns - Urology

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Testicular issues


Hello, doctor.
I would like to ask a question.
Several years ago, during my middle school years, I experienced pain in my right testicle, which disappeared on its own after two or three days.
Now, after seeing information about testicular torsion, I am worried that it might have been that situation.
Could it be possible that if the testicle was injured or necrotic, I would have had no symptoms for over a decade? Currently, there are no abnormalities in the appearance of my scrotum, and the size of my testicles is normal.

Mr. Huang, 20~29 year old female. Ask Date: 2022/06/09

Dr. Du Shixi reply Urology


Hello: It definitely isn't, no need to worry.
Wishing you good health.

Reply Date: 2022/06/09

More Info


Testicular pain can be a concerning issue, especially when it comes to conditions like testicular torsion, which is a medical emergency. Your past experience with right-sided testicular pain that resolved on its own is certainly something to reflect on, but it’s important to understand the implications of such pain and the potential long-term effects.

Testicular torsion occurs when the spermatic cord becomes twisted, cutting off the blood supply to the testicle. This condition typically presents with sudden, severe pain and swelling in the affected testicle, often accompanied by nausea and vomiting. If not treated promptly, torsion can lead to testicular necrosis (death of the testicular tissue) within a few hours due to lack of blood flow. However, if you experienced pain that resolved within a few days without any subsequent issues, it is less likely that you experienced torsion, especially since you mentioned that there are no current abnormalities in the appearance or size of your testicles.

In terms of long-term effects, if testicular torsion had occurred and gone untreated, it would likely have resulted in significant complications, including loss of the testicle. However, if you have had no symptoms or issues for over a decade, it is improbable that you sustained any long-term damage from an incident of torsion. The body often provides warning signs, and the absence of any ongoing pain or changes in the testicle is a reassuring sign.

That said, it is essential to be aware that testicular pain can arise from various causes, including infections (like epididymitis), trauma, hernias, or even referred pain from other areas. Chronic pain or discomfort in the testicular region can sometimes be linked to conditions such as varicocele or hydrocele, which may not present with acute pain but can cause discomfort over time.

If you are experiencing any new symptoms or if you have ongoing concerns about your testicular health, it is advisable to consult a healthcare professional. They may recommend a physical examination and possibly an ultrasound to assess the blood flow and structure of the testicles, ensuring that everything is functioning normally.

In summary, while your past experience with testicular pain is understandably concerning, the lack of ongoing symptoms and normal appearance of your testicles suggests that there may not be any long-term damage. However, if you have any doubts or new symptoms arise, seeking medical advice is always the best course of action. Regular check-ups and being proactive about any changes in your body can help ensure your reproductive health remains in good condition.

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