Urology of Greater Atlanta

What is Testicular Torsion?

A man holding his groin in pain caused by testicular torsion in Atlanta, Georgia.

Testicular torsion is a medical emergency that occurs when a testicle twists around the spermatic cord, cutting off its blood supply. This condition requires immediate attention to prevent permanent damage or even the loss of the affected testicle. Testicular torsion primarily affects teenage boys but can occur at any age.

At Urology of Greater Atlanta, we understand the importance of fast and effective treatment. With board-certified doctors across multiple locations in Georgia, we are equipped to diagnose and treat testicular torsion promptly, helping to preserve your health and peace of mind. Contact us today to learn more about how our specialists can help!

What Are the Symptoms of Testicular Torsion?

The most common symptom of testicular torsion is sudden pain in the scrotum, which can occur without warning. The pain is often accompanied by swelling of the affected testicle, nausea, vomiting, and sometimes abdominal pain.

Testicular torsion symptoms also include tenderness in the scrotum, redness, and the testicle sitting higher than usual. If you experience any of these signs, it is essential to seek medical care immediately.

How Does Testicular Torsion Happen?

Testicular torsion occurs when the testicle twists around the spermatic cord, which contains blood vessels, nerves, and the vas deferens (the tube that carries sperm). This twist blocks blood flow to the testicle, which can result in tissue damage if not treated quickly.

One common reason testicular torsion happens is a condition called “bell clapper deformity,” where the testicle is not securely attached to the scrotum, allowing it to move more freely and twist. While this deformity is congenital (present from birth), torsion can also be triggered by trauma, physical activity, or even occur during sleep.

A man at a urologist for testicular torsion in Atlanta, Georgia.

Possible Complications of Testicular Torsion

If left untreated, testicular torsion can lead to serious complications. The lack of blood flow to the affected testicle can cause permanent tissue damage, resulting in the need for removal of the testicle. This can impact fertility and hormone production.

Additionally, delayed treatment increases the risk of infection and ongoing pain. The sooner testicular torsion is treated, the better the chances of saving the testicle and avoiding long-term issues.

How is Testicular Torsion Diagnosed?

To diagnose testicular torsion, a doctor will perform a physical examination to assess the symptoms and position of the testicles. Ultrasound imaging is often used to confirm the diagnosis by showing whether blood flow to the affected testicle has been disrupted.

In some cases, doctors may opt for immediate surgery without imaging if the clinical signs are clear enough to warrant emergency intervention.

A man feeling relieved after testicle torsion surgery.

How is Testicular Torsion Treated?

Testicular torsion requires surgery to untwist the spermatic cord and restore blood flow to the affected testicle. This procedure (known as testicular torsion surgery) is performed under anesthesia.

During the surgery, the surgeon will untwist the testicle and may use sutures to attach the testicle to the inside of the scrotum to prevent future torsion, a process called orchiopexy. In cases where the testicle is too damaged to be saved, it may need to be removed.

Prompt testicular torsion treatment is critical because, if performed within 6 hours of the onset of symptoms, there’s a high chance you can save the testicle. After this window, the risk of losing the testicle increases significantly.

Why Choose Urology of Greater Atlanta for Testicular Torsion Treatment?

At Urology of Greater Atlanta, our board-certified urologists are experts in diagnosing and treating testicular torsion. With multiple locations throughout Georgia, we can provide fast and effective care to ensure the best outcomes for our patients.

If you or a loved one experiences symptoms of testicular torsion, don’t delay—contact us immediately to schedule an appointment. Your health is our priority, and we are committed to providing the highest standard of care.

FAQs about Testicular Torsion

In cases where an individual has a bell clapper deformity or a history of torsion, preventive surgery can be performed to secure both testicles and reduce the risk of future torsion. However, in most cases, testicular torsion cannot be completely prevented, as it often occurs unexpectedly.

Sudden, severe pain in the scrotum, especially if accompanied by swelling or tenderness, is a major warning sign. If you experience these symptoms, it’s crucial to seek medical help immediately to diagnose testicular torsion before complications develop.

Yes, testicular torsion always requires surgery to correct the twisting and restore blood supply. Without surgical intervention, the testicle is at risk of permanent damage.

Without treatment of testicular torsion, the lack of blood supply can lead to the death of the testicle, requiring its removal. It can also increase the risk of infection and impact future fertility.

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