Doctor insights on:
Can A Newborn Have Testicular Torsion
Are there any medicolegal cases, when medical staff has shown negligence in diagnosing 4 month infant testicular torsion resulting in loss of testicle. Initial Newborn screening showed both testis normal shape and size. And now after 4 month they diagnose
Unclear, but...: Real reason is unclear, but fact/experience tells it occurs in men with inborn poor fixation to the sac so to form so-called bell-clapper deformity of testis. While its peak age around 15-19, it may occur at any age. Based on the timing of its occurrence, it has been construed that hyperactivity of cremasteric muscles of spermatic cord may be prone to incite its twisting. ...Read more
Yes: Testicular torsion is a medical/surgical emergency. Torsion refers to a twisting of the testicle on its own blood supply, effectively cutting off oxygen to the testicle. It needs to diagnosed quickly and treated quickly to prevent testicular death. It usually presents with sudden pain in the scrotum with discoloration and swelling. Go to the emergency room if you think you have a torsion. ...Read moreSee 1 more doctor answer
No, but...: Although the description of testicular torsion in urology textbook usually depicts its full-blown one-way process ; pictures, and calls for emergent attention, intermittent twisting with spontaneous untwisting is not uncommon. So, a men with highly variable degree, duration, ; interval of testicular pain of acute onset with variable nausea ; referring pain to inguinal region deserves alert for it. ...Read more
When to go to E.R.: If a guy has no other reason for symptoms, and he has sudden or severe pain in the scrotum (the sack that contains the testicles), swelling of the scrotum, abdominal pain, nausea, or a testicle that is hanging higher than normal or at an unusual angle... He could have testicular torsion and needs to get to the emergency room now. If symptoms are quite mild, a primary doctor may examine him first. ...Read moreSee 1 more doctor answer
None....: Very rarely and unlikely a male affected by testicular torsion will know he gets it. But professional alert to analyze hx detailing the features of onset, degree, duration, and interval of testicular pain is the surest way to make an accurate DX of testicular torsion, after supplementing clinical suspicion with ua, physicals, and us as needed. ...Read moreSee 1 more doctor answer
Here are some ...: Testicular torsion results from inborn abnormality with inadequate attachment of tesis/epididymis to the scrotal wall, which makes the testis like a bell-calpper - in turn prone to twist to various degree and untwist at times so it manifests a wide range of onset, degree, duration, interval, evolution, resolution, progress of symptoms over time. More? Ask Doc timely. ...Read more
High alert /good Hx: The picture of acute one-way course of full-blown testicular torsion has been the most common description in textbook. But any man with intermittent testicular pain of acute onset with highly variable intensity, duration, ; interval for months to years (even up to 10-15 yrs) with nausea ; referring pain in the groin deserves an urgent assessment for intermittent torsion with spontaneous detorsion. ...Read more
Severe pain: Testicular torsion cuts off the blood supply to your testicle and this universally causes severe pain as the testicle starts to die from lack of blood flow. There are other causes of severe pain, and other exam findings of torsion, so you should be evaluated as soon as possible in an emergency department if you are having severe pain. ...Read moreSee 1 more doctor answer
Here are some ...: If having acute testicular torsion as commonly described in the textbook & journals, the time window of saving such a testis is about 8 hours; at times, professional keenness and acuity with action are the keys to save it, not doppler US alone. If being recurrent intermittent torsion, the patients will repeatedly suffer from recurrent testicular pain of a highly variable degree, duration, interval ...Read more
No,....: No. Impossible to untwist by the patient due to severe pain. At times, untwisting a torsed testis can be done by experienced professional hands, but surgical exploration and fixation or testicular removal are still timely required. And the opposite testis needs to be fixed as well due to high possibility of having simmilar poor fixation in the opposite side. ...Read moreSee 1 more doctor answer
Yes, but not always: Typical one-way full-blown torsion always has severe pain. Intermittent torsion with spontaneous detorsion tends to have highly variable intensity, duration, and interval of acute testicular pain with nausea, inguinal / lower abdominal ache. Professional high alert and vigilanceis the key to avoid misdiagnosis. ...Read more
Yes, at times....: If a typical testicular torsion has been around more 8-12 hours or days with no concern for infertility and protracted timing for recovery, leaving it untreated may be justified and reasonable if patient wishes and agrees to. But after all, surgery is still best and surest for shorter recovery and future. ...Read moreSee 1 more doctor answer
Several possible.: Surgery for testicular torsion exposes the testicle, de-torses the spermatic cord, and fixes both testicles in place (orchipexy). The incision is similar to a hernia surgery. If the torsed testis is not viable, it is removed. Testicular salvage rates are between 41-70%, depending on age and time to surgery. Orchipexy fixes the testicles in place to prevent future episodes. ...Read more
No, ...: No, masturbation itself would not cause testicular torsion because the underlying cause for testicular torsion is inborn inadequate fixation of testis onto the scrotal wall leading to so-called bell-clapper deformity. So, collect & bring the info on the onset, degree, duration, interval, and progress of testicular pain over time to Doc for analysis, physicals, and possible tests so to deduce Dx. ...Read moreSee 1 more doctor answer
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