Testicular torsion is a discomfort that occurs when a seminal cord that holds the testicles in place in the scrotum twists. This prevents blood from passing into the testicles and surrounding tissues.
The blood flow to the testicles comes from the testicular arteries that pass through the seminal cord. In contrast, venous circulation occurs through the testicular veins, which run in the same passage but in the opposite direction. Testicular circulation clogs these blood vessels, leading to deficient blood circulation in the testicle. This, if prolonged, may result in the testicle having to be removed.
What causes testicular rotation?
Testicular torsion can occur at any age, even in older men. It is still more common in adolescents and newborns. Some men are more susceptible to it due to defects in the connective tissue of the scrotum. However, there is no clear reason for the effort.
Testicular torsion can result from an injury to the testicular area that causes severe inflammation. It can also appear after strenuous exercise. In some cases, the man has an anatomical predisposition where the testicles are allowed to turn freely in the scrotum. It can also be caused by a longer-than-normal seed line.
Symptoms of testicular torsion
Pain is the main symptom of testicular rotation, it is sudden and severe. Although the pain is located in the twisted testicle, it can also radiate to the groin or even the lower abdomen.
In addition to pain, there may be other symptoms:
- General malaise
In some cases, the testicle may be above normal or at an abnormal angle. In general, the twisted testicle is swollen, and the skin of the scrotum is red and feels hard.
The severity of these symptoms depends on how long the discomfort has lasted. Sometimes the twisting of the testicle can disappear on its own, causing the pain to gradually decrease.
How is testicular rotation diagnosed?
This condition is diagnosed by looking at the patient’s medical history and doing a physical examination. The diagnosis can be confirmed by ultrasound, but it is not always necessary.
Ultrasound shows that the blood flow to the testicle is impaired. Doctors resort to this method when the diagnosis is uncertain.
Testicular rotation requires rapid surgery, and time is of the essence. The more time it takes, the greater the risk of testicular death and removal. If surgery is done within the first six hours, the testicle can probably still be saved.
If a child complains of sudden pain in the testicles, it is recommended to seek treatment immediately. The problem is treated by opening the twist and attaching that testicle.
If there is a lot of swelling and surgery cannot be performed immediately, the twist can be corrected manually. The surgery should still be done as soon as possible.
If the testicular twist is detected early and treated quickly, the testicle can still function normally. The likelihood of testicular removal increases if blood flow has been blocked for more than six hours. Sometimes, however, the testicle may lose its ability to function.