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Testicular torsion symptoms typically include sudden, intense pain in one of your testicles that usually arises during physical activity or while sleeping or resting. You may also notice swelling in your scrotum as well as visible lumps on the painful testicle(s), red or purple coloration in your scrotum and urine that smells ammonia; its pain being significantly more intense than what one would experience from hernias or similar conditions.<\/p>\n
If you encounter these symptoms, seek medical assistance immediately. Prompt treatment could prevent permanent damage or loss of an affected testicle.<\/p>\n
Your healthcare provider can diagnose torsion by reviewing your health history and performing a physical exam, in addition to performing a scrotal ultrasound to evaluate blood flow to your testicles. If torsion is suspected, they may refer you to a urologist (a healthcare professional who specializes in conditions affecting urinary tract and reproductive system conditions).<\/p>\n
An ultrasound can confirm torsion, although its diagnosis typically relies on clinical observations. A painful testicle will typically appear enlarged and hypoechoic with diminished blood flow compared to its counterpart that remains asymptomatic; additionally, its twist will often be visible during ultrasound imaging.<\/p>\n
Urologists can try to untwist testicles by gently stroking the thigh and inducing a reflex response – known as Prehn’s sign – this procedure may help distinguish epididymitis from torsion; however, numerous studies have proven its reliability questionable.<\/p>\n
If your family has had testicular torsion before or you have had previous episodes yourself, the risk is higher that you could develop it too as the condition tends to run in families.<\/p>\n
Testicles that have been twisted may be saved if immediate attention is sought from medical professionals. Blocked blood flow can lead to permanent damage in six hours; so seeking emergency care as soon as symptoms appear is vital. A urologist will also perform orchiopexy surgery on your testicle to reconnect it to the scrotum, saving additional damage.<\/p>\n
Testicular torsion is an immediate medical emergency that requires immediate treatment. It occurs when your spermatic cord, which supplies blood to both testicles, twists and cuts off supply; oxygen and nutrients needed by each testicle could become unavailable as a result, leading to permanent damage or loss of one of your testicles. You should contact a physician or go directly to an emergency room if you experience sudden severe discomfort in either of your testicles.<\/p>\n
Your healthcare provider will inquire into your symptoms, conduct a physical exam of your scrotum and may perform an ultrasound to check for testicular torsion. An ultrasound is a noninvasive scan which helps confirm diagnosis by verifying whether or not the testicle remains attached to its socket in the scrotum.<\/p>\n
As the only treatment for testicular torsion, surgery to untwist and restore blood flow to your testicle is usually necessary and successful in saving it. Your surgeon will stitch unaffected testicles securely inside of scrotal sacs so they won’t twist again in future operations.<\/p>\n
Testicular torsion has many causes; it could follow strenuous exercise or after suffering minor damage to your testicles. Bell clapper deformity increases its odds, as does having experienced testicular torsion before. Young boys as well as those in periods of rapid growth may be particularly susceptible to testicular torsion.<\/p>\n
Testicular torsion occurs more often in one testicle than both and tends to affect those on the left side of your body. While rare in newborns, testicular torsion can still cause scrotal swelling from other causes like epididymitis or urinary tract infection.<\/p>\n