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Testicular Torsion Related Questions

Testicular torsion is a condition where a rotating testicle can cause the spermatic cord to twist and cut off blood supply to the scrotum. When blood flow is blocked, it leads to extreme pain and swelling. Testicular torsion usually affects males under the age of 25 but can affect them at any age including infancy. Treatment for testicular torsion generally involves immediate emergency surgery. If the issue is properly treated within the first few hours, the testicle can typically be saved. However, if treatment isn't sought on time, it can cause severe damage.

To learn more about testicular torsion, take a look below at the questions that have been answered by the Experts.

What causes a testicle to move from its normal position?

Case details: Right testicle has descended and is in a weird angle compared to a normal testicle.

If a testicle is not in the normal position, one of the problems that could cause this issue is testicular torsion. Testicular torsion occurs when the testicle moves around on the spermatic cord which is responsible for supplying blood to the testicle. When the testicle rotates, the blood flow is shut down and may cause excessive pain and swelling to the testicle. Testicular torsion generally affects men who are 25 years and younger but may affect a male at any stage of his life.

If testicular torsion occurs, treatment generally involves emergency attention where the testicle can be saved if properly attended to within a few hours. If treatment isn't sought within the first few hours, serious damage may occur resulting in the inability to father children. Many times, if the testicle is deprived of blood for more than 12 hours, the testicle may need to be removed. In this scenario, it is better to visit a urologist who might suggest an ultrasound and exam.

At what point during a testicular torsion does the testicle become unsalvageable?

Testicular torsion is considered a urologic emergency that generally affects 1 in every 4000 males under the age of 25 and usually involves the left testicle. It is important to diagnose testicular torsion immediately to avoid the possible loss of the testicle. Again, there are several causes for testicular pain so a correct diagnosis, such as by doing an ultrasound, is imperative.

As for saving the testicle, generally 80-100% of men who seek immediate treatment within 6 hours of the onset of pain are able to keep their testicle. However, after 6-8 hours the percentage rate begins to rapidly decrease and is usually 0% at the 12 hour stage.

What could cause pain in the left testicle 30 yrs after a testicular torsion?

In many cases, pain that occurs this long after a testicular torsion can be stemming from an infection, inflammation or the result of trauma. However, the pain may also be associated with testicular torsion which requires immediate medical attention. There are other issues such as stones in the urinary tract, nerve pain, epididymitis or pudendal neuralgia that could attribute to the pain as well. In this situation, an immediate examination by a doctor may be required to avoid the possibility of the loss of the testicle if it is a serious condition.

If a person has testicular torsion and loses a testicle, can they still have children?

Testicular torsion occurs when the blood supply to the testicle is shut off due to the testicle rotating on the spermatic cord. Symptoms often include severe pain and swelling with localized tenderness. Left untreated, the testicle may even be lost. However, if proper treatment is sought in the first 6 hours most testicles may be saved. If this does not happen, it must be noted that the loss of one testicle generally doesn't deprive a man of having children. He should still be able to do so with the help of the normal testicle.

Testicular torsion is generally an extremely painful condition that may leave a man unable to father children if not properly treated. Many medical and person questions can arise when a man is diagnosed with testicular torsion. If you have any queries or concerns regarding testicular torsion, ask an Expert right away. They can offer medical insights, information and suggestions both quickly and at an affordable cost.
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