Start by gently gripping the top of the scrotum, with your thumb on top and your fingers underneath. Pinch gently so that the testicle stays put and won’t move during the exam. Between your fingers, you should feel the spermatic cord. This connects the testicle to the rest of your body.
What can be mistaken for testicular torsion?
Conditions that may mimic testicular torsion, such as torsion of a testicular appendage, epididymitis, trauma, hernia, hydrocele, varicocele and Schönlein-Henoch purpura, generally do not require immediate surgical intervention.
Can testicular torsion fix itself?
Testicular torsion almost always requires surgery to correct. In rare cases, the doctor might be able to untwist the spermatic cord by pushing on the scrotum, but most guys will still need surgery to attach both testicles to the scrotum to prevent torsion from happening in the future.
What testicular torsion feels like?
Signs and symptoms of testicular torsion include: Sudden, severe pain in the scrotum — the loose bag of skin under your penis that contains the testicles. Swelling of the scrotum. Abdominal pain.
When should you go to the doctor for testicle pain?
Sudden, severe testicle pain needs immediate medical care. Call your provider right away or go to an emergency room if: Your pain is severe or sudden. You have had an injury or trauma to the scrotum, and you still have pain or swelling after 1 hour.
What does epididymis feel like?
The testes themselves feel like smooth, soft balls inside the baggy scrotum. At the top and to the back of each testis is the epididymis (this stores the sperm). This feels like a soft swelling attached to the testis; it can be quite tender if you press it firmly.
Is testicular torsion unbearable?
Torsion can slow or cut off blood flow to the testicle. A lack of blood makes the affected testicle swell and become painful. Testicular torsion is a medical emergency. You need to be treated as soon as possible to prevent infertility and other complications, and to save the testicle.
Can testicular torsion last days?
The affected testicle may become larger, and it may become red or dark in color. Symptoms usually appear suddenly, although in some cases, the torsion can develop over a few days. It is important to seek emergency care for sudden or severe testicle pain.
Does testicular torsion hurt a lot?
If your son has testicular torsion, he’ll feel a sudden, possibly severe pain in his scrotum and one of his testicles. The pain can get worse or ease a bit, but probably won’t go away completely.
How do you fix testicular torsion?
Surgery is required to correct testicular torsion. In some instances, the doctor might be able to untwist the testicle by pushing on the scrotum (manual detorsion). But you’ll still need surgery to prevent torsion from occurring again. Surgery for testicular torsion is usually done under general anesthesia.
Can you pee with testicular torsion?
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.
How long does testicular torsion take to heal?
The swelling usually goes down within 2 to 4 weeks. You should be able to do most of your normal activities after 1 to 2 weeks, except for those that require a lot of effort. It’s important to avoid straining with bowel movements and doing heavy lifting while you recover.
Why does my epididymis feel hard?
What is a spermatocele? A spermatocele (epididymal cyst) is a painless, fluid-filled cyst in the long, tightly coiled tube that lies above and behind each testicle (epididymis). The fluid in the cyst may contain sperm that are no longer alive. It feels like a smooth, firm lump in the scrotum on top of the testicle.
Can the epididymis feel like a lump?
Epididymitis is a condition that can cause the epididymis to become painful and swollen. The epididymis is a tube that sits behind each testicle and carries the sperm. The swelling can feel like a lump. People with epididymitis may also experience pain, tenderness, and warmth in the skin around the testicles.
Is epididymitis an STD?
Epididymitis can affect men of all ages, but it’s most common in men between ages 14 and 35. It’s usually caused by a bacterial infection or a sexually transmitted disease (STD).
Can sperm build up cause pain?
Infection: The testicle and epididymis, the part of the testicle that stores sperm, can sometimes become infected, causing pain and swelling that starts quickly and gets worse. Fluid Buildup: An injury or infection can cause fluid to build up around the testicle, causing painful swelling. This is called a hydrocele.
How long should testicular pain last?
With treatment, your pain may improve within 1 to 3 days. Depending on the cause of your testicle pain, your condition may take up to 4 weeks to heal. Rest: Limit your activity until your pain decreases.
Can sitting all day cause testicular pain?
CTP may also worsen when sitting for long periods of time, such as at a desk job or driving a truck. Doing heavy lifting, manual work, or even swinging a golf club may trigger CTP in a person who is prone to it. The pain and discomfort may be accompanied by: Swelling and redness of the testicles and scrotum.
Can you strain a testicle?
Rupture or fracture.
An injury can rupture or tear the tough, protective covering surrounding the testicle and damage the testicle. This is called a testicular rupture or fracture.
Can you have a baby after testicular torsion?
Unfortunately, testicular torsion can lead on to reduced fertility or infertility in a significant proportion of sufferers and therefore is is possible that you may now have a problem. You can assess your fertility by having a semen analysis performed.
Is testicular torsion serious?
Testicular torsion is a painful, very serious condition in which a male’s testicular blood supply (the spermatic cord) gets twisted and cuts off blood flow to the testicle. It is a medical emergency and if not treated right away—within six hours—you can lose the testicle.
How expensive is testicular torsion surgery?
The first cost is the cost of the testicular implant or prosthesis itself, which varies but in the United States, the prices range around $2000-$3000 for each implant.
What is intermittent testicular torsion?
Intermittent testicular torsion is a separate entity that should be considered in all young males with a history of scrotal pain and swelling. Acute and intermittent sharp testicular pain and scrotal swelling, interspersed with long intervals without symptoms, are characteristic.