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Doctor insights on: Testicular Torsion

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Dr. Sam Brancato
134 doctors shared insights

Testicular Torsion (Overview)

When a testicle rotates, twisting the spermatic cord that brings blood to the scrotum. The reduced blood flow causes sudden and often severe pain and swelling..


Dr. Sam Brancato
134 doctors shared insights

Testicular Torsion (Overview)

When a testicle rotates, twisting the spermatic cord that brings blood to the scrotum. The reduced blood flow causes sudden and often severe pain and swelling..


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What are the most common symptoms of testicular torsion?

What are the most common symptoms of testicular torsion?

Pain: The most common symptoms are very severe testicular pain usually associated with nausea and vomiting. There can also be redness on the affected side. ...Read more

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Other then swelling and pain what are the signs of testicular torsion and how do they know they have it?

P-A-I-N: Usually not significant swelling, just pain, and it is more than adequate to get your attention and get you in to the er for evaluation. The pain is progressive and intensifies over time. Swelling usually later sign, often after significant injury to testicle. Nausea/vomiting common due to pain intensity. May radiate up into abdomen, may have difficulty voiding. Go to er if think you are torsed. ...Read more

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I'm having testicular torsion please help?

I'm having testicular torsion please help?

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

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How would I know if I had testicular torsion?

How would I know if I had testicular torsion?

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

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What causes testicular torsion? How do I prevent tesicular torsion from happening?

What causes testicular torsion? How do I prevent tesicular torsion from happening?

Testicular torsion: Torsion of the testis refers to a twisting of the testis and spermatic cord resulting in a choking of the blood vessels to and from the testis. It is a true emergency as the testis can essentially die if not corrected within a few hours. The condition requires a congenital abnormality of the mesentary suspending the testis in the scrotum. As a result there is not much you can do to prevent. ...Read more

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If pain disappears during a torsion does it mean the testicle is in necrosis stage or was it an episode of intermittent testicular torsion?

If pain disappears during a torsion does it mean the testicle is in necrosis stage or was it an episode of intermittent testicular torsion?

If: Torsion is suspected immediate radiologic examination is necessary. Torsion should not be ruled out on the basis of change in pain. While necrosis will take time urgent intervention is required to save the testicle ...Read more

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What can be expected after treatment for testicular torsion?

Pain and swelling...: Pain and swelling in surgical site are expected, but can be easily managed with reassurance and judicious use of pain medication with expected slow resolution in 1-3 weeks. Of course, individual postop course may vary. ...Read more

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Is there a cure for testicular torsion?

Here are some ...: The underlying cause for testicular torsion is inborn inadequate fixation of testes so there is no medical cure but surgery to fix it forever - orchiopexy; that can be called "cure" if you will. More detail? Ask Doc timely. ...Read more

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Dr. James Lin Dr. Lin
1 doctor agreed:
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How can you prevent testicular torsion?

Dr. James Lin Dr. Lin
1 doctor agreed:

No.: There is no known way to prevent testicular torsion but surgical fixation to prevent its recurrence. ...Read more

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Could testicular torsion be hereditary?

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

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Tips on avoiding testicular torsion surgery? Positioning to untwist?

Tips on avoiding testicular torsion surgery? Positioning to untwist?

Manual rotation.: 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 that needs immediate therapy but with good chance of success. ...Read more

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What is testicular torsion?

What is testicular torsion?

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 more

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How to get testicular torsion?

How to get testicular torsion?

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

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Testicular torsion how common?

Testicular torsion how common?

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

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Can testicular torsion be cured?

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

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What is testicular torsion from?

What is testicular torsion from?

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 more

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What causes a testicular torsion?

What causes a testicular torsion?

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

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Could i predict a testicular torsion?

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