Torsion-Symptoms, Causes and Treatment

Overview Overview Overview

In men, testicular torsion means that the testicles (gonads) rotate and the attached spermatic cords and blood vessels twist. Restricted blood flow causes sudden, severe swelling and pain.

Torsion of the testicles is commonly found in men between the ages of 12 and 18. But it can happen at any stage of life.

Torsion of the testicles usually requires emergency medical procedures to correct the volvulus. Immediate treatment can save the gonads. If blood flow is blocked for an extended period of time, the gonads can be very seriously damaged and need to be surgically removed.

About illness

The twisting movement of the testicles also twists the spermatic cord attached to the gonads. Inside this string are blood vessels that supply blood to the gonads. Twisting can limit or block the blood supply to the gonads, and in the absence of blood supply, the gonads become swollen and painful.

What are the symptoms of twisting?

Unexpected severe pain in one of the scrotum or testicles. The pain may increase or decrease, but it does not go away completely.

Includes various symptoms:

  • Sudden, terrible pain in the scrotum, which is a loose bag of skin under the penis, including the testicles.
  • Swelling of swelling
  • stomach ache
  • Vomiting and nausea
  • Testicles in a higher or abnormal position than expected
  • heat
  • Frequent urination.

When do you see a doctor?

Seek medical attention immediately if you notice severe or sudden testicular pain. If testicular volvulus occurs, early intervention can minimize serious loss or damage to the gonads.

Also, if you notice unexpected testicular pain that disappears without treatment, seek clinical assistance immediately. This can occur if the gonads do not twist or twist on their own (irregular twists and twists). Surgery is often required to prevent the condition from recurring.

Request a reservation at Apollo Hospital

Call 1860-500-1066 to make a reservation

What is the cause of the twist?

Torsion of the testicles occurs when the gonads rotate on the spermatic cord. Multiple rotations of the gonads can completely block blood flow to the gonads.

The reason for testicular volvulus is not yet clear. Many men with testicular volvulus have a genetic feature that allows the gonads to rotate unimpeded within the scrotum.

Torsion usually occurs hours after strenuous exercise, after minor testicular injuries, or during rest. Cold puberty or rapid development of the gonads can play a role as well.

What are the risk factors?

The main risk factors for twisting are:

  • Age (most common 12-25 years)
  • Previous testicular twist
  • Family record of testicular volvulus
  • Cryptorchidism

What are the complications of twisting?

Torsion of the testicles should be considered immediately as an emergency. If not managed immediately, this condition can cause serious complications. Torsion of the testicles can cause concomitant difficulties:

  • infection
  • Testicular damage
  • infertility
  • Deterioration of cosmetic appearance

If left untreated for more than a few hours, the gonads may be severely damaged and need to be removed. Gonads can usually be preserved with treatment within a 4-6 hour time frame.

After 12 hours, there is a 50% chance of preserving the gonads. After 24 hours, the chances of preserving the gonads are reduced to 10%.

How can I prevent twisting?

The best way to prevent testicular volvulus in men who are at high risk of developing testicular volvulus is to fix the two gonads in the scrotum so that they cannot rotate and twist.

When the testicles are removed, it does not necessarily mean that a man cannot have children. Other testicles will be able to produce enough sperm.

What is the cure for twists?

Surgical procedures are required to correct testicular volvulus (torsion).

During surgery, the surgeon makes a small incision in the scrotum, unwinds the spermatic cord, and secures one or both testicles with the scrotum.


Torsion of the testicles is a health-related emergency. It is best to get treatment as soon as possible. Torsion of the testicles should be considered as one of the main reasons for acute scrotal pain.

Frequently Asked Questions (FAQ)

How is my fertility affected after I lose my testicles (gonads)?

Only one gonad is required for normal fertility and male characteristics. Individual testicles can make an average amount of sperm and testosterone. Nevertheless, studies show that about one-third of victims face low sperm counts after twisting. Similarly, it can lead to anti-sperm antibodies, which can alter sperm function and movement. Some studies have shown that these men may have low fertility.

Can Infants Have Testicular Torsion?

Yes, but this is very rare. The specific reason is unknown.

Back to top button