Post Date December, 02 2023
18 year old boy's testicles twisted 180 degrees due to excessive exercise
Cao Qilong has a passion for playing basketball. Recently, Cao Qilong participated in a basketball game as a key player. When he slept at night, he felt testicular pain and thought it was a slight injury to his perineum caused by intense competition during the ball game, so he took painkillers himself. The next day at noon, the pain did not significantly alleviate, so he went to the urology department of Jiangyin People's Hospital for treatment. After B-ultrasound examination, it was found that the left testicle had twisted 180 degrees. Unfortunately, the twisting time exceeded 12 hours, and the left testicle had necrosis, which could only be surgically removed.
According to the doctor, testicular torsion, also known as spermatic cord torsion, is due to the intense contraction of the spiral cremaster muscle muscle attached to the spermatic cord when the scrotum is injured by intense exercise or violence, resulting in torsion and acute blood circulation disorder of the testis. Manifestation is severe pain in the scrotum area, which can radiate to the lower abdomen or medial thigh, accompanied by symptoms such as nausea and vomiting. The testicles are swollen and move upwards, with obvious tenderness. The spermatic cord is twisted and shortened in a hemp rope shape. Doctors pointed out that testicular torsion can occur in all ages of men, with the highest incidence rate among adolescents aged 12 to 18. The potential congenital dysplasia, cryptorchidism, and severe exercise are all prone to testicular torsion. The best treatment time for testicular torsion is within 6 hours. If it does not exceed 12 hours, manual reduction can be immediately attempted for correction. If manual reduction fails, surgical testicular fixation is feasible. After 12 hours of occurrence, there was significant necrosis of the testicles, and only the affected side of the testicle could be subjected to orchiectomy. Therefore, if testicular pain, swelling, and other conditions occur, timely medical attention should be sought.
Male testicular torsion requires grasping the most critical eight hours
Testicular torsion is common and can occur in all age groups. Prolonged ischemia often disrupts testicular spermatogenesis and endocrine function, leading to severe consequences such as testicular atrophy and necrosis. Hospital experts point out that the ischemia situation after testicular torsion is related to the degree and duration of torsion. The greater the degree of torsion, the more severe the ischemia, and the less chance of rescue.
According to research reports by medical experts, testicular ischemia for 1 hour results in reversible damage; After 5 hours of ischemia, most of the testes are still salvageable; Over 8 hours, inevitable testicular necrosis occurs; If it exceeds 24 hours, the function of the affected testicle may be permanently lost.
Testicular torsion is prone to occur during nighttime sleep or early morning hours. Especially after boys enter puberty, the nighttime erection of the penis increases, accompanied by local muscle contraction, which can cause testicular rotation.
Those boys with potential congenital dysplasia, such as excessive or absent gubernaculum, high fixation point of spermatic cord, cryptorchidism, or cryptorchidism with oblique hernia, have increased testicular activity when the penis is erected at night, which is easy to reverse, and symptoms will appear when the penis cannot recover by itself. Most patients with testicular torsion will suddenly experience swelling and tenderness of one side of the scrotum, thickening of the spermatic cord, and pain can involve the lower abdomen, groin, or thigh. Some patients may also experience symptoms such as nausea, vomiting, fever, and difficulty walking.
In daily life, many men are careless about testicular torsion and endure the pain again and again, resulting in delayed early treatment and individual loss of fertility, leading to lifelong misfortune. Experts suggest that once testicular torsion occurs, especially in adolescents, it should be immediately relieved to restore testicular blood supply, in order to save the testicles and prevent complications.
In the early stage of testicular torsion, manual reduction can be used. However, due to the fact that the testicles after manual reduction have not been fixed, there is still a possibility of re torsion, and it is difficult to determine the ischemic condition of the testicles after manual reduction. Therefore, it is recommended to go to the hospital for examination and treatment in a timely manner, and adopt surgical treatment. In addition, after treatment, a doctor should be consulted for routine semen examination to understand the function of the diseased testicles and the contralateral testicles, which is more important for unmarried young men.
Can testicular torsion cause infertility
"Whether testicular torsion will affect future fertility depends on the operation time after testicular torsion. Generally speaking, the sooner the operation is performed after testicular torsion, the better the effect will be. Within 3 to 4 hours after testicular torsion, the testicle and spermatic cord will be restored by surgery to restore the blood supply of the testicle. Most testicles can maintain normal function without affecting fertility. However, if the operation time is delayed, the testicles will become necrotic due to ischemia Even after surgery, it is difficult to restore normal testicular function. Moreover, necrotic testicles can produce anti sperm antibodies in the body, causing infertility. In this case, it is necessary to remove the testicles. However, some parents do not understand this and demand that the testicles that have lost their function be preserved instead of being removed. They hope that the testicles can gradually recover their function in the future, which is very harmful. If the necrotic testicles are not removed, it can cause the healthy testicles on the other side to lose function, leading to infertility.
