Symptoms of Testicular Torsion: What You Need to Know

Testis

What symptoms occur if there is testicular torsion? Recently, I've been feeling discomfort in my testicles and I'm wondering if it could be caused by testicular torsion.

Xiao Tuo, 20~29 year old female. Ask Date: 2009/05/04

Dr. Xu Weikai reply Urology

Hello, usually testicular torsion is very painful and occurs suddenly.
However, sometimes it can twist, untwist, and then twist again...
The main symptom is unilateral testicular pain.
If there are any unclear points, feel free to ask again, and we can discuss and research further.

Department of Urology, Taitung Hospital, Ministry of Health and Welfare, Taiwan
Director: Hsu Wei-Kai

Reply Date: 2009/05/04

More Info

Testicular torsion is a medical emergency that occurs when the spermatic cord twists and cuts off the blood supply to the testicle. This condition can lead to severe complications, including loss of the affected testicle, if not treated promptly. Understanding the symptoms of testicular torsion is crucial for early diagnosis and intervention.

Symptoms of Testicular Torsion
1. Sudden Severe Pain: The most common symptom of testicular torsion is sudden, severe pain in one testicle. This pain can start abruptly and may be accompanied by a feeling of heaviness in the scrotum.

2. Swelling: The affected testicle may become swollen and tender. The scrotum may also appear red or darker than usual.

3. Nausea and Vomiting: Many individuals with testicular torsion experience nausea and vomiting due to the severe pain and stress on the body.

4. Abdominal Pain: Sometimes, the pain may radiate to the lower abdomen, making it difficult to pinpoint the exact source of discomfort.

5. Change in Position of the Testicle: In cases of torsion, the affected testicle may be positioned higher in the scrotum than the other testicle. This is due to the twisting of the spermatic cord.

6. Absence of Cremaasteric Reflex: Normally, when the inner thigh is stroked, the testicle on the same side should rise. In cases of torsion, this reflex may be absent.

7. Pain Relief with Position Change: Some individuals may find that changing positions does not alleviate the pain, which is a distinguishing factor from other conditions like epididymitis.

What to Do If You Suspect Testicular Torsion
If you experience any of the symptoms mentioned above, especially sudden and severe pain in the testicle, it is crucial to seek medical attention immediately. Testicular torsion is a surgical emergency, and the sooner treatment is initiated, the better the chances of saving the testicle.

Diagnosis and Treatment
Upon arrival at the hospital, a healthcare provider will perform a physical examination and may order imaging tests, such as an ultrasound, to assess blood flow to the testicle. If testicular torsion is confirmed, surgical intervention is typically required to untwist the spermatic cord and restore blood flow. In some cases, the testicle may need to be removed if it has been deprived of blood for too long.

Conclusion
In summary, the symptoms of testicular torsion include sudden severe pain, swelling, nausea, and changes in the position of the testicle. If you are experiencing discomfort in your testicles, it is essential to consult a healthcare professional as soon as possible to rule out testicular torsion or other serious conditions. Early diagnosis and treatment are key to preventing complications and preserving testicular function.

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