Can you detach a testicle
Normally this causes the testicles to contract. However, this reflex may disappear if you have torsion. You might also receive an ultrasound of your scrotum. This shows blood flow to the testicles. If blood flow is lower than normal, you may be experiencing torsion. You should never ignore sharp testicular pain. This causes a testicle to twist and untwist.
Surgical repair, or orchiopexy , is usually required to treat testicular torsion. In rare cases, your doctor may be able to untwist the spermatic cord by hand. Surgery is performed as quickly as possible to restore blood flow to the testicles. If blood flow is cut off for more than six hours, testicular tissue can die. The affected testicle would then need to be removed. Surgical detorsion is performed under general anesthesia.
Your doctor will make a small incision in your scrotum and untwist the cord. Tiny sutures will be used to keep the testicle in place in the scrotum. This prevents rotation from occurring again.
The surgeon then closes the incision with stitches. As with any surgical procedure, you may have discomfort after surgery. Your doctor will recommend or prescribe the most appropriate pain medication. After surgery, you can expect your scrotum to be swollen for two to four weeks.
You can use an ice pack several times a day for 10 to 20 minutes. The incision made during surgery may also ooze fluid for one to two days. Make sure to keep the area clean by washing gently with warm, soapy water. Your doctor will recommend refraining from certain types of activities for several weeks following surgery.
These include sexual activity and stimulation, such as masturbation and intercourse. Make sure to get plenty of rest to allow your body to fully recover. Walking a little bit each day will help increase blood flow to the area, supporting recovery. Testicular torsion is an emergency requiring immediate care.
When not treated quickly, or at all, this condition can result in severe complications. Gangrene is a potentially life-threatening infection. It can spread rapidly throughout your body, leading to shock.
If damage occurs to both testicles, infertility will result. The loss of one testicle can create a cosmetic deformity which may cause emotional upset. This can, however, be addressed with the insertion of a testicular prosthesis. Untreated testicular torsion can result in testicular atrophy , causing the testicle to shrink significantly in size. An atrophied testicle can become unable to produce sperm. If left untreated for more than several hours, the testicle may become severely damaged, requiring its removal.
After 24 hours, the chances of saving the testicle drop to 10 percent. Other conditions affecting the testicles may cause symptoms similar to those of testicular torsion. They can rule out testicular torsion or help you obtain any necessary treatment.
This can cause the testes to twist around the spermatic chord. When this happens, it cuts off the blood flow to the testicle. It can cause pain and swelling, and should be treated as an emergency.
The testicles or "testes" are 2 organs that hang in a pouch of skin. The pouch is called the scrotum. It sits below the penis. This is where sperm and male sex hormone testosterone are made. The blood supply for each testicle comes from the spermatic cord.
This cord starts in the abdomen and extends into the scrotum. This cord also contains the vas deferens, which carries sperm from the testicles to the urethra. The testes should be about the same size. If one side quickly becomes larger than the other, this can be a problem.
Change in scrotum color, especially redness or darkening, is also a problem. Early on, there may not be swelling. But very shortly after, the scrotal skin will swell and turn red. You may also feel nauseous and vomit.
Testicular torsion is a medical emergency. Since all blood for the testicle comes through the spermatic cord, the blood supply is cut off with a twist. The testicle will shrink "atrophy" if the blood supply isn't restored within 6 hours. With no blood, the testicle could die or "infarct". When the testes die, the scrotum will be very tender, red, and swollen. Often the patient won't be able to get comfortable. Any pain or discomfort in the testes is a sign to get medical help right away.
Call your doctor even with no swelling or change in skin color. Slow-onset pain in the testicle, over many hours or days, can be a sign of torsion.
This is less common. Problems with urination, such as burning or having to go often are not normal signs of torsion. Torsion tends to happen on the left side more than the right. Most often, torsion is only on one side. Only 2 in men with torsion have it in both testes. Torsion is not a common problem. It happens in about 1 in 4, males under the age of It can also happen in newborns and in older men.
In most males, a testicle can't twist because the tissue around it is well attached. Some males are born with no tissue holding the testes to the scrotum.
This lets the testes "swing" inside the scrotum often called a "bell clapper" deformity. Torsion can happen on either side, but rarely on both sides. Physical activity doesn't cause torsion. It may happen during exercise, sitting, standing or even sleeping. Testicular torsion is often found with a physical exam by a doctor. X-ray tests may also be used. On examination, an empty hemiscrotum can be palpated 1. Blunt force to the testis can rupture the fascia of the spermatic cord and force the testis out of the scrotum.
Unilateral or bilateral dislocation are equally common 2. The role of CT in testicular dislocation can be confirmation of an abdominally dislocated testis and to also delineate the extent of the causative traumatic injury 2.
Surgical treatment in addition to being more successful also allows torsion to be corrected if present 3. Fertility may be affected and a heightened risk of testicular malignancy can occur if the testis is not reduced for a prolonged period 2. Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Updating… Please wait. Unable to process the form. Check for errors and try again. Thank you for updating your details. Log In.
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