Torsion of the Testis: What Is It and What to Do

What should we do in case of a suspected torsion of the testis is to go immediately to the er or see a urologist, as soon as the first symptoms appear as severe pain in the testicles, swelling or tenderness to the touch.

Typically, testicular torsion is a rare problem that arises before the age of 25 when a testicle twists around the cord espermático, decreasing the circulation of blood and can cause serious injury to the testicle.

The torsion of the testicle is a medical emergency because it is necessary to start the treatment until 12 hours after the onset of symptoms to avoid the development of damage, which can lead to infertility.

Photos of torsion of the testis


What causes torsion on the testicle

The main cause of the torsion of the testicles is a genetic problem that causes a weakening of the tissue that supports the testicles, allowing that they can rotate freely inside the scrotum, and led to the emergence of the twist of the cord espermático.

In addition, testicular torsion can also arise after trauma in the testicles due to accidents or kicks, for example, after vigorous activity or during adolescence, when growth is very fast.

Treatment for torsion of the testis

The treatment for torsion of the testis should be done as soon as possible in the hospital with surgery to place the testicle in the correct location and allow the passage of blood, avoiding the death of the body.


Surgery for torsion of the testis is performed under a general anaesthetic and, typically, it is only necessary to completely remove the testicle affected if it has been more than 12 hours after the onset of symptoms. However, in these cases, it is rare for the emergence of infertility since the problem rarely affects both testicles, allowing you to maintain a testicle healthy.

Symptoms of torsion of the testis

The most common symptoms of torsion of the testicle include:

  • The intense pain and sudden in the testicles;
  • Swelling and increased sensitivity in the scrotum;
  • The presence of a testicle higher than the other;
  • Pain in the belly or in the groin area;
  • Sharp pain when urinating;
  • Nausea, vomiting, and fever.

The torsion of the testis in children and adolescents is more frequent during the night and, in these cases, it is common that the pain is so intense that it wakes the child from sleep.

When appear these symptoms, it is recommended to go as fast as possible to the er to do an ultrasound, to diagnose testicular torsion and start the appropriate treatment.

Torsion of the Testis What Is It and What to Do 1

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