In today's infertile men, many causes can be traced to a history of early scrotal pain. There are many reasons for scrotal pain, and it is also possible that scrotal pain can affect testicular quality. Testicular torsion is one type. Testicular torsion is a treatable disease that often occurs in adolescents for unknown reasons.
Unlike torsion of other tissues and organs, testicular torsion has no obvious cause and can occur during nighttime sleep. After the onset of the disease, scrotal and testicular pain occurs to varying degrees, with some gradually worsening, some alternating changes, and some improving themselves. Except for a few patients who have significantly improved themselves in the short term, other patients should be actively treated, otherwise serious consequences may occur.
The main function of the testis is to produce sperm and sex hormones. The normal morphology and function of the testis cannot be maintained without a normal blood flow nutrient supply, and the main basis for maintaining the supply is the testicular artery. When the testicle twists, the testicular arteries also twist, causing blood vessels to become blocked or blood flow to decrease significantly. Due to the absence of collateral circulation in the testicular artery, testicular ischemia after testicular torsion can lead to organic or functional lesions, such as testicular necrosis, atrophy, or degeneration, resulting in a sharp decrease in sexual hormone secretion, a significant decrease in sperm quantity, or a decrease in sperm quality. If both testicles have lesions (testicular torsion and other serious lesions), sexual dysfunction or infertility can occur.
The treatment of testicular torsion is quite simple, and the key is early detection. Therefore, when scrotal pain occurs, do not ignore the possibility of testicular torsion, and seek medical attention in a timely manner.
(Intern Editor: Cai Junyi)