Testicular torsion represents a medical emergency that demands immediate attention. This condition involves the twisting of the spermatic cord, a structure that supplies blood to the testicle. This article provides general information and is not a substitute for professional medical advice. Individuals experiencing symptoms associated with this condition must seek immediate medical care.
What is Testicular Torsion?
Testicular torsion occurs when the spermatic cord, which contains blood vessels, nerves, and the vas deferens, twists around itself. This twisting action compromises or completely cuts off the blood supply to the affected testicle. The testicles are housed within the scrotum, a pouch of skin located below the penis.
The most common symptom of testicular torsion is the sudden onset of severe pain in one side of the scrotum. This pain can be accompanied by swelling, redness or darkening of the scrotal skin, nausea, vomiting, and sometimes abdominal pain. The testicle may also appear higher than its normal position or at an unusual angle within the scrotum. Given that blood flow is quickly restricted, the condition is time-sensitive, and prompt diagnosis and treatment are necessary to prevent permanent damage to the testicle.
Manual Detorsion and Its Limitations
When addressing a twisted testicle, the term “manual detorsion” refers to a medical procedure performed by a trained healthcare professional. This involves carefully rotating the testicle by hand to untwist the spermatic cord and restore blood flow.
Attempting manual detorsion without medical guidance is highly risky and can worsen the condition. Incorrect manipulation could further twist the testicle, causing more damage to the blood supply. Even if manual detorsion successfully restores blood flow, it is often a temporary measure. Surgery is almost always necessary afterward to secure the testicle and prevent future episodes of torsion. Healthcare providers often use ultrasound imaging to confirm blood flow restoration after manual manipulation and before definitive surgical intervention.
Seeking Urgent Medical Care
Anyone experiencing symptoms suggestive of testicular torsion should seek emergency medical attention without delay. Call emergency services or go to the nearest emergency room immediately. Prompt action is paramount because the viability of the testicle significantly decreases with time.
Upon arrival at a medical facility, healthcare professionals will perform a rapid assessment, which typically includes a physical examination and may involve an ultrasound to confirm the diagnosis and assess blood flow to the testicle. The definitive treatment for testicular torsion is usually surgical intervention, known as an orchiopexy.
During this procedure, the surgeon untwists the testicle and secures it to the scrotal wall with stitches to prevent it from twisting again. If the testicle has been without adequate blood supply for too long, it may suffer irreversible damage, potentially requiring its removal.