Doctor insights on:
Do People With Testicular Torsion Have A Lot Of Pain
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 ...Read more
A dangling testis...: It's a dangling testis like a bell-clapper hinging below inguinal canal from inborn poor fixation of testis supposedly to the scrotal wall so it twists as testicular size increases and cremasteric muscle acts; this is intravaginal and happens to the puberty and adults. Those hinging above external inguinal ring are extravaginal, happening to newborn or before birth. Detail? Ask doc in expertise. ...Read moreSee 2 more doctor answers
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
Depends on age.: Testicular torsion has two peak incidences: a small one in the neonatal period and a large one during puberty, but it can occur at any age. The incidence is estimated to be 1 in 4000 in males younger than 25 years old. Approximately 65% of cases occur in boys between the ages of 12 and 18 years. ...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
Bad luck!: Torsion is from your anatomy not being sufficient to prevent your testicle from spinning and then having the misfortune of some movement that spins the testicle. Most torsion happens during routine activity like getting into bed. For more: www.Peedoc.Com @thepeedoc. ...Read moreSee 1 more doctor answer
Twisting of cord.: Testicular torsion is caused by twisting of the spermatic cord, which interrupts the blood supply to the testis. A common contributor is an anatomic defect called the bell-clapper deformity, where the additional mobility of the testicle predisposes it to twisting. A larger testicle is also a risk factor. ...Read more
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
Bell-clapper testis: Some men have a testis that hangs loosely within the tunica vaginalis which is membrane around testis. Torsion can occur if the membrane is attached unusually high on the spermatic cord, often with a testicle which lies transversely rather than vertically. Testicle thus hangs like the clapper of a bell. Additionally, contraction of the cremaster muscle can then cause testicle to twist on it's cord. ...Read more
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