Testicular Torsion: A Medical Emergency Every Man Should Know

When it comes to men's health, few conditions demand faster action than testicular torsion. It’s painful and alarming, and if not treated quickly, it can lead to permanent damage or even loss of a testicle. Yet, many men and boys are unaware of this urgent medical emergency.

So what exactly is testicular torsion, and how can you recognize it before it’s too late? Let’s explore the symptoms, causes, and treatment options every man should be aware of.

What Is Testicular Torsion?

Testicular torsion occurs when the spermatic cord—which supplies blood to the testicle—gets twisted. This twisting cuts off the blood flow, causing sudden and severe pain.

Without a blood supply, the testicular tissue can begin to die in just a few hours. That’s why immediate medical attention is critical. In most cases, surgery is required within 6 hours to save the affected testicle.

Who Is at Risk?

Testicular torsion most commonly affects:

• Teenage boys (ages 12–18)
• Newborns
• Men under 25, though it can occur at any age

Some people have a condition called bell-clapper deformity, where the testicle is more mobile than usual inside the scrotum. This increases the likelihood of twisting.

What Are the Signs and Symptoms of Testicular Torsion?

The hallmark of testicular torsion is sudden, severe testicular pain, often on one side. Other symptoms may include:

• Swelling or redness of the scrotum
• Nausea or vomiting
• Abdominal pain
• A high-riding testicle (sitting higher than usual)
• Testicular firmness
• Painful urination (less common)

If you or someone you know experiences these symptoms, seek emergency medical help immediately.

What Causes Testicular Torsion?

In many cases, there is no clear trigger. However, it can sometimes be caused or worsened by:

• Trauma or injury to the groin
• Sudden physical activity or movement
• Cold weather (which can cause muscles in the scrotum to contract)
• Sleep (torsion sometimes happens during sleep without warning)

Genetics may also play a role, especially if other men in the family have had the condition.

How Is Testicular Torsion Diagnosed?

Doctors can often suspect torsion based on a physical exam and patient history. To confirm the diagnosis, they may use:

• Ultrasound with Doppler (to assess blood flow)
• Urine tests (to rule out infection)
• Scrotal exploration surgery, if needed urgently

Time is of the essence—delays in diagnosis can lead to irreversible damage.

What Is the Treatment for Testicular Torsion?

The only definitive treatment is emergency surgery, known as detorsion and orchiopexy. During this procedure:

1. The testicle is untwisted to restore blood flow.
2. Both testicles are then secured to the scrotum wall to prevent future torsion.

If the affected testicle is too damaged, it may need to be removed (orchiectomy). This is why prompt action is crucial.

Can It Be Prevented?

While not always preventable, early surgical intervention can reduce the risk of recurrence. In people with known risk factors or anatomical issues, preventive orchiopexy (surgical fixation) may be advised, even if no torsion has occurred yet.

Educating boys and men to recognize the signs can also prevent delays in treatment.

Frequently Asked Questions (FAQs)

1. How fast should I go to the hospital if I suspect testicular torsion?

Immediately. The chances of saving the testicle drop significantly after 6 hours. Every minute counts.

2. Is testicular torsion life-threatening?

Not directly, but it can cause permanent damage, loss of fertility, or loss of the testicle if untreated.

3. Can testicular torsion fix itself?

Rarely. Some cases may temporarily untwist, but the problem usually recurs. Surgery is needed to prevent future episodes.

4. Will I still be fertile if one testicle is removed?

In most cases, yes. The remaining testicle can still produce enough sperm and testosterone.

5. Is torsion painful even after it’s treated?

You may have mild post-surgical pain or swelling, but it typically resolves within a few days.

Act Fast, Stay Safe – Consult Dr. Aditya Sharma Today

When it comes to testicular torsion, every second matters. Ignoring the pain or delaying a visit to the doctor can lead to irreversible consequences, including the loss of a testicle. Dr. Aditya Sharma, a leading expert in men’s urological health, provides prompt diagnosis and surgical intervention to preserve testicular function and prevent complications.

If you or a loved one is experiencing sudden testicular pain or swelling, don’t wait.

Book an urgent consultation with Dr. Aditya Sharma—because fast action today can protect your health for years to come.