Physical Problems in Males

Testicular Torsion

Testicular torsion is the twisting of a testicle on its spermatic cord. This happens if the testicle, which is normally attached to the bottom of the scrotum, is torn loose to float freely. As a result, the testicle can rotate and the spermatic cord can get twisted. This, in turn, cuts off their blood supply. The result is a scrotal swelling and sudden, severe pain, often extending into the abdomen and perhaps accompanied by nausea and vomiting. In addition to these problems, the condition may also produce a hydrocele (see there). Testicular torsion can have a variety of causes, from some congenital malformation to injury and strenuous excercise to cold weather. It is found most often in children and teenagers, but it can occur at any age. As a rule, the left testicle is the one affected.

Treatment
Testicular torsion is a medical emergeny requiring a specialist. If it is not treated within the first 6 hours, the testicle is likely to be damaged beyond repair. (In this case, it is removed and replaced with some cosmetic implant which preserves a normal outward appearance of the scrotum.) As for the treatment itself: The doctor may first attempt to untwist the torsion by hand. However, if this proves unsuccessful, surgery is unavoidable.