Testicular Torsion

Testicular torsion is something that 1 in 4000 men under the age of 25 experience every year. It occurs due to the rotation and twisting of the testicle. This causes swelling and eventually cuts off the blood supply to the testicle.

Testicular torsion is an emergency condition and can threaten the life of the organ. It is important that all men are aware of the symptoms of testicular torsion as the earlier it is diagnosed, the more likely it is the testicle can be saved.

Please note: the information below does not constitute medical advice. If you have any concerns at all, speak to your GP or consultant.

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We would like to thank Ms Nadine McCauley and Miss Shabnam Undre, who have helped produce the information in this section for The Urology Foundation.

Learn more about Testicular Torsion

Testicular Torsion symptoms

Testicular torsion symptoms can be similar to other conditions that affect the testicles, such as infections, but it is important to get checked by a doctor without delay.

Look out for:

  • Sudden onset pain that can be severe in the scrotum and one of your testicles.
  • The pain might increase and decrease but on most occasions will not go away completely.

Less common but may also be present:

  • Swelling of the scrotum
  • One testicle may appear higher than the other
  • Pain in your belly
  • Nausea and vomiting

 

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Testicular Torsion diagnosis

See a doctor urgently

If there is a sudden pain in your scrotum, call your doctor or get to a hospital as soon as possible. The doctor will listen to you describe your condition, ask about other symptoms and examine your scrotum, testicles, abdomen and groin.

If there is suspicion of testicular torsion you may require emergency surgery to save the testicle. Other tests that can be considered to look for other conditions include Ultrasound and urine or blood tests.

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Testicular Torsion treatment

Surgery to fix the testicle

Testicular torsion requires emergency surgery to explore the scrotum, this usually requires a general anaesthetic. If the testicle is untwisted and has not been permanently damaged it may then be fixed on one or both sides.

Surgery to remove the testicle

If the testicle has been twisted for too long and has permanent damage it will need to be removed with a procedure called an orchidectomy. Removing the testicle will not affect your sex life or ability to have children. You may be able to have a prosthesis fitted later on.

 

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