Testicular Torsion: Symptoms and What to Watch For - Urology

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Testicular torsion


I want to understand testicular torsion because my testicles feel out of sync; one side feels better and retracts upward more readily, while the other side has a slight delay.
The sensitivity on both sides is different, and the sensation when touched varies.
Additionally, one side (the right side) sometimes experiences a brief, mild pain that quickly goes away.

Daxuesheng, 20~29 year old female. Ask Date: 2015/11/19

Dr. Fu Shizhang reply Urology


The so-called torsion can cause severe pain and is an emergency that requires surgical intervention.
This is different from the symptoms mentioned above.
If you are concerned, it is advisable to visit an outpatient clinic for examination.

Reply Date: 2015/11/19

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 complications, including loss of the affected testicle if not treated promptly. Understanding the symptoms and what to watch for is crucial for timely intervention.


Symptoms of Testicular Torsion
1. Sudden Onset of Pain: The most common symptom of testicular torsion is sudden, severe pain in one testicle. This pain can also radiate to the lower abdomen or groin. The pain often occurs without any prior injury or trauma.

2. Swelling: The affected testicle may become swollen and tender to the touch. Swelling can occur rapidly, and the scrotum may 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 the body's response to the acute condition.

4. Abnormal Positioning of the Testicle: In cases of torsion, the affected testicle may be positioned higher in the scrotum or may be in an abnormal position compared to the other testicle.

5. Sensitivity Differences: As you mentioned, you may notice differences in sensitivity between the two testicles. One testicle may feel more sensitive or painful than the other, which can be a sign of torsion.

6. Delayed Response: If you feel that one testicle is responding differently than the other, such as a delay in contraction or sensitivity, this could be indicative of a problem.

What to Watch For
- Duration of Symptoms: Testicular torsion is a time-sensitive condition. If you experience sudden pain that lasts more than a few hours, it is critical to seek medical attention immediately. The longer the blood supply is cut off, the higher the risk of permanent damage.

- Changes in Sensitivity: If you notice that one testicle feels different in terms of sensitivity or pain, especially if it is accompanied by swelling or changes in position, this warrants immediate evaluation by a healthcare professional.

- Associated Symptoms: Pay attention to any accompanying symptoms such as nausea, vomiting, or abdominal pain. These can indicate that the condition is affecting your overall health and may require urgent care.


When to Seek Medical Attention
If you experience any of the symptoms mentioned above, especially sudden and severe pain in one testicle, it is crucial to seek medical attention immediately. Testicular torsion is typically diagnosed through a physical examination and may require imaging studies, such as an ultrasound, to confirm the diagnosis.

Conclusion
In summary, testicular torsion is a serious condition that requires prompt medical attention. If you are experiencing symptoms such as sudden pain, swelling, or differences in sensitivity between your testicles, do not hesitate to visit a healthcare provider. Early intervention can save the affected testicle and prevent complications. Always trust your instincts; if something feels off, it’s better to get checked out.

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