Testicular Torsion, Tumors, and Fertility Concerns - Urology

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Could you please provide the content you would like me to translate?


1.
What is testicular torsion?
2.
How can I tell if there is a tumor in the testicle?
3.
Can excessive masturbation lead to infertility?

Akuang, 10~19 year old female. Ask Date: 2005/12/03

Dr. Xu Weikai reply Urology


Hello,
1.
Testicular torsion occurs when the testicle twists due to asymmetric development, which can happen at different rates.
This twisting can obstruct blood vessels and nerves, leading to testicular necrosis.
2.
Testicular tumors generally cause the testicle to enlarge or become irregular in shape.
3.
Excessive masturbation, in theory, should not lead to infertility.
It's similar to running; running a lot does not cause muscle atrophy in the legs.
I believe there should not be any impact in this regard.
Sincerely,
Dr.
Hsu Wei-Kai
Director, Urology Department
Taitung Hospital, Department of Health, Executive Yuan

Reply Date: 2005/12/03

More Info


Testicular torsion, tumors, and fertility concerns are important topics in male reproductive health. Let's break down each of your questions to provide a comprehensive understanding.

1. What is testicular torsion?

Testicular torsion occurs when the spermatic cord, which supplies blood to the testicle, twists and cuts off its blood supply. This is a medical emergency that can lead to severe pain and, if not treated promptly, can result in the loss of the affected testicle. Symptoms typically include sudden, severe pain in one testicle, swelling, nausea, and vomiting. The condition most commonly affects adolescents and young adults, but it can occur at any age. Immediate surgical intervention is often required to untwist the cord and restore blood flow to the testicle. If treated within a few hours, the testicle can often be saved; however, if left untreated for too long, the testicle may become necrotic and need to be removed.

2. How can one know if there is a testicular tumor?

Testicular tumors can present with various symptoms, but many men may not experience any noticeable symptoms in the early stages. Common signs include a lump or swelling in the testicle, a feeling of heaviness in the scrotum, or changes in the size or shape of the testicle. Regular self-examinations can help in early detection. If a lump is found, it is crucial to consult a healthcare provider for further evaluation, which may include a physical examination, ultrasound imaging, and blood tests to check for tumor markers. Early detection is key, as testicular cancer is highly treatable, especially when caught in its early stages.

3. Can frequent masturbation cause infertility?

Frequent masturbation does not cause infertility. It is a normal sexual activity and, in general, does not have a negative impact on sperm production or fertility. The body continuously produces sperm, and regular ejaculation, whether through masturbation or sexual intercourse, does not deplete sperm reserves to a level that would cause infertility. However, excessive masturbation may lead to temporary issues such as fatigue or soreness, but these are not related to fertility. If there are concerns about fertility, it is essential to consider other factors such as lifestyle, health conditions, and potential exposure to toxins or medications that may affect sperm quality.

In summary, understanding these conditions is crucial for maintaining reproductive health. Testicular torsion is a surgical emergency that requires immediate attention, while testicular tumors necessitate prompt evaluation and management. Frequent masturbation is not linked to infertility, but overall reproductive health should be monitored through regular check-ups and self-examinations. If there are any concerns regarding testicular health or fertility, consulting a healthcare professional is always the best course of action.

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