Doctor insights on:
How Does A Doctor Fix Testicular Torsion
Rotation, surgery.: Non-surgical correction can sometimes be done by manually rotating the testicle in the opposite direction (outward, towards the thigh). If this is initially unsuccessful, a forced manual rotation in the other direction may correct it. Manual detorsion is successful in 26.5% to 80% of patients. This is a surgical emergency needing prompt manual or surgical rx. But with good chance of success. ...Read more
I'm having a severe anxiety attack because I'm having on and off pain in my left testicle and I keep thinking I have testicular torsion. I spoke to a doctor on here using the live chat thing but all he said was see a urologist, nothing else.
Testicular pain: A testicular torsion is where the blood supply is cut off from them being twisted closed. This is considered urological emergency. This can be intermittent as other doctors have told you. You must not assume that if this is a torsion that it will always untwist. As the pain can be other than torsion, it it's best to go to an urgent care T this time for examination. If torsion not a difficult fix. ...Read more
Doctors r/o inguinal hernia, diverticulitis, and testicular torsion. Observed epididymitis. Cause severe pain in LL Abd. When sneezing/coughing?
Referred pain: The testicle and closely attached structures (epididymis) form in the abdomen very early in life and then migrate later to outside of the body. This means that the nerve supply originates in the abdominal area -and you are experiencing this firsthand. Hopefully the treatment for epididymitis will lead to resolution. Has anything been confirmed? Good to see doc to make sure you're on track to heal. ...Read more
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 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
Unknown...: It is unclear if being genetic or hereditary. Clinically, this concern is irrelevant to clinical judgment and care. In fact, professional alert and vigilance will take timely action to save more testis with better outcome in managing testicular torsion. ...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 more
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 more
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 more
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 more
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 more
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
Testis cancer: Is usually painless and feels like a hard, non-tender lump. Testis torsion is associated with very severe pain of sudden onset & scrum will be swollen & tender. Torsion can be associated with nausea & vomiting. Scrotal ultrasound will demonstrate a tumor, if present. There will be absent testicular blood flow with torsion. ...Read more
Very safe: But testicular torsion needs quick emergency surgery, time is essence, quick un-twisting is required, unless contra indicated, usual preferred method is general anesthesia, some times spinal. In presence of twisted cord and painful condition local field block is also difficult. Speak to your anesthesiologist and surgeon. ...Read more
By surgeon's...: Intraoperative decision on to fix or remove torsed testis is largely based on history, how testis looks, and surgeon's experience, and judgment. Will the decision be perfect? No. The more experienced the surgeon, the better the outcome will be. Although intraoperative doppler ultrasound to assess arterial blood flow to the testis may be useful at times. ...Read more
Depends: Testicular torsion is not an elective procedure, so the surgical results vary with the length and degree of blood loss to the affected testicle before surgery. If your surgeon was able to safe the testicle, you may stay longer in the hospital to observe for signs of infection, delayed ischemic problems. If the testicle was removed, the recovery might be short. Good luck. ...Read more
Testical pain other side from last time, had testicular torsion months ago. Shall I go to hospital?
Will there be testicular torsion surgery scars? If so how noticeable is it? Will it fade away after?
Thought I had testicular torsion but hospital dx'ed spermatocele. Is it necessary to treat it? Will it go away?
Unclear, but...: The unique features of onset, degree, duration, interval, progress, associated sx of intermittent or one-way full-blown torsion signify the occurrence of torsion. Spermatocele is usually painless and at the globus major of the epididymis. So, how to treat it requires assembling surgeon's knowledge, experience, common sense, and wisdom together to make sensible decision. So, ask doc in expertise. ...Read more
After testicular torsion surgery, how does the testical attach to the scotrum after the stitches are dissolved?
Normal: The normal vascular and neurological complexes are still there. The stitches probably helped the deep layers attach giving support also. ...Read more
No sensation on testicle. Feels uncomfortable and to rises up. No testicular torsion symptoms occurred. What is it?
3 times: You have asked this question in 3 ways 3 times. The one I answered was "no"when you asked if it was possible to have torsion without pain. I would recommend that you see a doctor if you have testicular symptoms. Some of us know that Tbilisi is in Georgia, as you listed yourself as in Georgia twice and in Tbilisi the 3rd. Time. Take care and best wishes. ...Read more
If pain disappears during a torsion does it mean the testicle is in necrosis stage or was it an episode of intermittent testicular torsion?
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