Facts Men Need to Know about Testicular Torsion

Testicular torsion is the painful twisting of the spermatic cord of the testicles. This condition may cause loss of blood to flow through the testicles which can be dangerous to the survival of the testicular tissues. This condition is also the most commonly occurring causes of testicle loss in young adolescent males.

Around 12% of male are represented with an anatomic abnormality which is the bell clapper deformity that cause the majority cases of testicular torsion. The twisting of the spermatic cord tends to be allowed more easily by this anatomical condition resulting to the compromising situation of the testicle’s blood supply. Almost 40% of men are suffering from bilateral bell clapper deformity which happens in both of the testicles. Some of these conditions are only present in one of the male’s testicles. The detection of this deformity is still quite impossible; up to this date there are no new found ways to detect this anatomical abnormality.

The symptom of testicular torsion is mainly characterized by intense pain in one or in both of the testicles and accompanied by sudden inflammation. The testicles are elevated as well as the spermcords are twisted. Fever, nausea and vomiting are also experienced as well as abdominal pains. Previous experiences of testicular pains are also symptoms of this condition.

Most frequently testicular torsion is seen in the age group of 12 to 18 years old and commonly occurring in men under the age of 30. Nevertheless, it can occur at any given age that includes the newborns.

Unexpected occurrence of testicular pain and swelling should be evaluated immediately as possible. Evaluations of this condition are best done in emergency rooms, where the availability of rapid imaging is present and quick accessibility to surgical intervention. One hundred percent of testicle salvage rate can be done in a time frame of six hours. After this time frame the percentage of the salvage rate is very possible to decrease and the testicles may no longer be salvageable when the surgical repair is done after 24 hours.

Physical examinations of a testicular torsion are typically done with lab tests which may include blood count and urine analysis. Radiological images of the scrotum are performed; this procedure is done through a Doppler ultrasound or degree assessment of the blood flow of the testicles through nuclear scanning. In most cases where the time frame of the condition is substantial, testicle imaging may not be possible anymore because emergent treatment such as surgical procedures are the most appropriate course of action for the preservation of the testicles.

Surgery is the only treatment for testicular torsion. It is very rare for a physician to be able to manually untwist a patients testicles suffering from testicular torsion but this practice is not common. Dealing with testicular torsion at home and without proper medical intervention may lead to absolute loss of the testicles.

The surgery’s main goal is to be able to salvage the testicles. Orchietomy is a surgical procedure which is done when the testicles are removed because they are 100% non-salvageable due to the testicular torsion condition.