most common testicular problem is torsion of a testicle. This
condition usually occurs in childhood and the teenage years, but
can occur in men of any age. Some men are predisposed to testicular
torsion as a result of inadequate connective tissue within the
scrotum itself, but testicular torsion can happen to anyone with
torsion actually refers to a "twisting act" which impairs blood flow. The
impaired blood flow occurs when a testicle twists around on the
spermatic cord, which carries the spermatic artery, and cuts off
its own blood supply.
torsion can actually happen spontaneously and for no apparent
reason. Sometimes it even occurs during sleep. Oddly enough, the
cord can untwist by itself before you get to the urologist or
other health care provider. However, if it happened to you once,
you are most likely at risk for this to occur again and most urologists
would probably recommend that surgery is needed to repair the
testicle, or both testicles.
In adult men
the testicle torsion condition is often a result of trauma to
the scrotum, or from strenuous physical exertion. For example:
A softball, baseball, or golf ball hits a man hard in the scrotum
and causes the torsion. (I had a patient who was the victim of
a hard-hit softball to his groin). Being kneed or kicked in the
testicles can also cause testicular torsion. The pain of torsion
is actually worse than the kick that causes the torsion--so hopefully
you will know not to ignore this! (Ouch! And I am a woman.)
and dizziness are often present when there is an absence of blood
supply to the testicle or if the injury is sudden. Fainting can
torsion is considered a medical emergency and usually requires
surgery within four to six hours if the testicle is to be saved.
An ultrasound of the scrotum most often confirms this diagnosis
by showing the absence of blood flowing to the testicle.
or urologist, sometimes will stitch the testicle in place so the
torsion doesn't reoccur. If the condition is diagnosed quickly
and immediately corrected, the testicle may continue to function
hours of torsion, the chances that the testicle will need to be
removed increases. Sometimes even with less than six hours of
torsion, the testicle may lose its ability to function. (Remember,
you only need one testicle to produce testosterone and to father
a child. Testosterone is also produced by the adrenal glands.)
you recognize this situation? As the testicle's blood supply is
reduced, it gradually turns red, then purple and eventually blue.
Thats when the pain becomes excruciating and medical help
in any sport with a fast-moving object, guys should either wear
cup or avoid trauma to the scrotum (in other words, never play
goalie, catcher or pitcher without a cup).
this condition is a surgical emergency. If symptoms of testicular
torsion occur seek emergency treatment promptly. Call 911 in the
United States, if you are in too much pain to drive. Somehow get
to your nearest emergency room.
of your age, if you have these symptoms, seek medical attention