Doctor insights on:
Testicular Torsion Without Pain
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 moreSee 1 more doctor answer
Here are some ...: Being bruised or not in testis depends upon the timing and degree of its torsion. At elective surgery for intermittent torsion, the look of testis may be perfectly normal with no bruise; at its acute stage, a torsioned testis may look awful and at times may pose a professional dilemma to remove or save it. ...Read moreSee 1 more doctor answer
Yes: Very painful, swelling is usually substantial.Get a more detailed answer ›
No, but...: Theoretically, it's unlikely to induce pain on the other side, but similar process for neuralgia possibly occurs on the opposite side of same level of spinal nerves. Yet, before concluding Dx, such pain should be evaluated so to deduce if the contralateral pain is new and unrelated. How to get things done correctly? Follow instructions described in http://www.formefirst.com/eNewsletter06.html. ...Read more
Here are some ...: In experienced professional mind, awareness, & alert, a detailed history pertaining to the onset, degree, duration, interval, and progress of testicular pain in association with possible voiding Sx plus physicals & timely tests such as urinalysis with/without scrotal US will be reasonably easy to pinpoint their diagnoses. In fact, most times, imaging studies are not practically needed despite its ...Read more
Yes, if ...: If being mild and intermittent twisting, yes, its related pain can be mild. Again, remember: every life event always displays itself as a pattern of full spectrum, and we only assess the event at certain point or moment on that full spectrum, at which we have to make a good decision and take a good action so to expect a good outcome. That is our professional life. ...Read moreSee 2 more doctor answers
Scrotal & abdo aching pain both sides. Swollen testis
veins. Uvsound shows no Varicocele, torsion, epididymis, UTI or kidney/appendix infection. What?
Some are...: - age: torsion tends to be around puberty vs peididymits/orchitis, in young sexually active adults;std-related. - hx: torsion - acute onset and fast progress vs epididymits - slower progressive course. - voiding sx: none in torsion vs more in epididymits. - ua: normal in torsion vs pyuria in eoididymitis. - timely doppler us: torsion with poor a. Flow vs diffuse increase flow in epididymits. ...Read more
Pain from torsion: Typically pain from torsion lasts about 6 hours. Then, once the testis tissue has died, the pain goes away. It's imperative to seek immediate medical care if you have severe pain in a testicle. Time to save it is limited. ...Read more
Does no severe pain rule out regular testicular torsion? (not referring to intermittent testicular torsion since that doesn't need immediate surgery)
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
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
Likely still post op: Review your symptoms with your surgeon to rule out any correctable cause. ...Read more
Very little time.: If pain persists after manual testicular detorsion you must be concerned that spermatic cord has not been completely untwisted. Possible to get some relief after partial detorsion when cord is still 180 degrees twisted. Testicular pain should be much relieved by the time the anesthetic has worn off after surgical detorsion, and pain gone within a 2 - 3 days. Will be tender for a few more days. ...Read moreSee 1 more doctor answer
Aching pain in testis and inguinal areas, 3 uvsounds rule out torsion, epididymis & varicocele or abdo problems but discomfort continues after 2 month?
Here are some...: Testicular pain with its highly variable degree, duration, & interval, especially in the young like you, should lead a professional mind to concern about possible intermitternt testicular torsion with detorsion, which requires timely surgical testicular fixation. Scrotal US would not help if not done right at the time of painful attack. More? To http://sick-ask.com/eNewsletter06.html. Best wish... ...Read more
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: Typically the nerves to the testicle /groin can come from one from lumbar and sacral nerve roots. Compression of these nerves roots in the spinal canal can cause irritation that can be felt in the groin. This is not a typical sciatic nerve root pattern since these leave the spinal canal before integrating into the typical sciatic nerve but you could also have sciatica as well. ...Read moreSee 2 more doctor answers
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