The hemiscrotum may be swollen or erythematous. The onset of severe testicular pain is sudden and is not relieved by elevation of the scrotum 3. There should be no fever or urethral discharge. It is important to recognize that some patients may present with intermittent symptoms due to spontaneous detorsion, so-called intermittent testicular torsion.
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They may also pinch the inside of your thigh. Normally this causes the testicles to contract. However, this reflex may disappear if you have torsion. You might also receive an ultrasound of your scrotum.
This shows blood flow to the testicles. If blood flow is lower than normal, you may be experiencing torsion. What treatments are available for testicular torsion? You should never ignore sharp testicular pain. This causes a testicle to twist and untwist. Surgical repair Surgical repair, or orchiopexy , is usually required to treat testicular torsion. In rare cases, your doctor may be able to untwist the spermatic cord by hand.
If blood flow is cut off for more than six hours, testicular tissue can die. The affected testicle would then need to be removed. Surgical detorsion is performed under general anesthesia. Your doctor will make a small incision in your scrotum and untwist the cord. Tiny sutures will be used to keep the testicle in place in the scrotum. This prevents rotation from occurring again. The surgeon then closes the incision with stitches.
As with any surgical procedure, you may have discomfort after surgery. Your doctor will recommend or prescribe the most appropriate pain medication. After surgery, you can expect your scrotum to be swollen for two to four weeks. You can use an ice pack several times a day for 10 to 20 minutes.
Hygiene The incision made during surgery may also ooze fluid for one to two days. Make sure to keep the area clean by washing gently with warm, soapy water. Rest and recovery Your doctor will recommend refraining from certain types of activities for several weeks following surgery.
These include sexual activity and stimulation, such as masturbation and intercourse. Make sure to get plenty of rest to allow your body to fully recover. Walking a little bit each day will help increase blood flow to the area, supporting recovery. Testicular torsion is an emergency requiring immediate care. When not treated quickly, or at all, this condition can result in severe complications. Gangrene is a potentially life-threatening infection.
It can spread rapidly throughout your body, leading to shock. Infertility If damage occurs to both testicles, infertility will result. Cosmetic deformity The loss of one testicle can create a cosmetic deformity which may cause emotional upset. This can, however, be addressed with the insertion of a testicular prosthesis. Atrophy Untreated testicular torsion can result in testicular atrophy , causing the testicle to shrink significantly in size.
An atrophied testicle can become unable to produce sperm. Testicular death If left untreated for more than several hours, the testicle may become severely damaged, requiring its removal. After 24 hours, the chances of saving the testicle drop to 10 percent.
What conditions may resemble testicular torsion? Other conditions affecting the testicles may cause symptoms similar to those of testicular torsion. They can rule out testicular torsion or help you obtain any necessary treatment.
Epididymitis This condition is typically caused by a bacterial infection, including sexually transmitted infections such as chlamydia and gonorrhea. Symptoms of epididymitis tend to come on gradually and may include: testicular pain.
When to see a doctor Seek emergency care for sudden or severe testicle pain. Prompt treatment can prevent severe damage or loss of your testicle if you have testicular torsion. This can occur when a testicle twists and then untwists on its own intermittent torsion and detorsion. Surgery is frequently needed to prevent the problem from happening again.
Mild warmth and redness of the overlying area may be present. Elevation of the testicle may worsen the pain. The cremasteric reflex , which normally causes elevation of the testicle by stroking the inner thigh, may be absent,  especially in children. Children with testicular torsion may awaken with testicular or abdominal pain in the middle of the night or in the morning. You can help by converting this article , if appropriate. Editing help is available. December Testicular infarction : Testicular damage occurs as a consequence of decreased blood flow, and therefore decreased oxygen and nutrient supply, to the testicle.