Testicular torsion is the twisting of the spermatic cord, which cuts off the blood supply to the testicle and surrounding structures within the scrotum.
Some men may be predisposed to testicular torsion as a result of inadequate connective tissue within the scrotum. However, the condition can result from trauma to the scrotum, particularly if significant swelling occurs. It may also occur after strenuous exercise or may not have an obvious cause.
The condition is more common during infancy (first year of life) and at the beginning of adolescence (puberty).
- Sudden onset of severe pain in one testicle, with or without a previous predisposing event
- Swelling within one side of the scrotum (scrotal swelling)
- Nausea or vomiting
Additional symptoms that may be associated with this disease:
- Testicle lump
- Blood in the semen
Surgery is usually required and should be performed as soon as possible after symptoms begin. If surgery is performed within 6 hours, most testicles can be saved.
During surgery, the testicle on the other (non-affected) side is usually also anchored as a preventive measure. This is because the non-affected testicle is at risk of testicular torsion in the future.