Sudden, sharp pain in the testicle isn’t something to take lightly. One possible cause of this intense pain is a condition called testicular torsion—a urological emergency that requires immediate medical attention.
As a leading Consultant Urologist and Andrologist in Baner, Pune, Dr. S K Palash emphasizes the importance of early recognition and urgent treatment to prevent permanent damage or loss of the testicle.
What is Testicular Torsion?
Testicular torsion occurs when the spermatic cord, which supplies blood to the testicle, twists. This twist cuts off the blood flow, leading to severe pain and swelling. If left untreated, it can result in irreversible testicular damage or even loss of the testicle.
This condition is considered a surgical emergency. Time is critical—the sooner it's treated, the better the chances of saving the testicle.
What Causes Testicular Torsion?
Testicular torsion can occur spontaneously, often without any warning. It is more likely in individuals who have a congenital condition known as bell clapper deformity, where the testicles are more mobile than usual.
Other possible triggers include:
Minor injury or trauma to the testicle
Sudden movements
Intense physical activity
Even turning over during sleep
Though it’s most common in teenage boys, it can happen at any age—including infants and older men.
Warning Signs and Symptoms
The symptoms of testicular torsion are sudden and severe, and should never be ignored. Watch out for:
Sudden, intense pain in the testicle or groin area
Swelling of the scrotum
Nausea or vomiting
The affected testicle may appear higher than usual or be at an abnormal angle
Pain that doesn’t improve with rest or elevation
If you or someone you know experiences these symptoms, seek medical help immediately.
When Should You Seek Medical Help?
Immediately.
Time is crucial. The best chance to save the testicle is if surgery is performed within 6 hours of symptom onset. Delaying treatment beyond this window increases the risk of:
Permanent tissue damage
Loss of the testicle
Future fertility issues
Chronic pain
If you’re in Baner, Pune, or nearby areas, consult Dr. S K Palash right away for prompt evaluation and emergency care.
How is Testicular Torsion Treated?
Treatment for testicular torsion involves emergency surgery, which serves two purposes:
Detorsion – Untwisting the spermatic cord to restore blood flow.
Orchiopexy – Surgically fixing both testicles to the scrotum to prevent recurrence.
In cases where the affected testicle is found to be non-viable (no blood flow for too long), it may need to be surgically removed (orchiectomy).
Both testicles are typically addressed during the procedure to prevent torsion from happening again on the other side.
Can Testicular Torsion Happen Again?
Yes, torsion can recur if the testicles are not surgically fixed. That’s why orchiopexy is done on both sides during surgery, even if only one testicle was initially affected.
Is Testicular Torsion Common in Adults?
While more common in teenagers, testicular torsion can occur at any age—from newborns to older men. Adult cases, though less frequent, are often overlooked or misdiagnosed, making it even more important to be aware of the signs.
What Happens If You Ignore the Pain?
Delaying treatment can have serious consequences:
Loss of the testicle
Reduced fertility or infertility
Chronic scrotal pain
Psychological impact
Ignoring the symptoms or waiting for pain to go away can cost you your reproductive health. Don't take the risk.
Final Thoughts from Dr. S K Palash
Testicular torsion is not just another case of groin pain—it’s a time-sensitive emergency. Recognizing the signs early and seeking urgent care can make all the difference.
If you're in Baner, Pune, and experience sudden testicular pain, contact Dr. S K Palash immediately for expert diagnosis and treatment.
Disclaimer: The information provided here should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. The information is provided solely for educational purpose and should not be considered a substitute for medical advice.
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