Thermal contraception does not increase the risk of testicular torsion. However, if your testicle has been surgically fixed in a lower position, you may not be able to move it upward as needed for this method. To check, try very gently lifting it by hand while in a safe setting. If you feel resistance, do not force it. It is best to consult a doctor to confirm.
About testicular torsion
Testicular torsion is a medical emergency requiring immediate intervention to prevent permanent damage to the affected testicle. It occurs when the testicle twists around the spermatic cord, cutting off its blood supply.
Testicular torsion involves the rotation of a testicle on its axis, twisting the spermatic cord that supplies blood to the testicle. This blocks blood flow, causing intense pain, swelling and sometimes nausea and vomiting.
Treatment
Treatment of testicular torsion is surgical and should be performed as soon as possible to increase the chances of saving the affected testicle. Ideally, surgery should take place within 6 hours of the onset of symptoms to minimize the risk of testicular loss.
- Manual untwisting: In some cases, a doctor may attempt to undo the torsion manually under local anaesthetic, but this is usually temporary and surgery is often required to prevent recurrence.
- Orchidopexy: This is the standard surgical procedure where the surgeon untwists the spermatic cord and fixes the testicle in the scrotum to prevent recurrence of the torsion. Orchidopexy can be performed on both testicles as a preventive measure.
If not treated promptly, torsion can lead to testicular loss and potentially reduced fertility, particularly if the torsion occurs on both sides or if the patient has only one functional testicle. If blood flow is restored in time, the testicle can often resume normal function.
Testicular torsion is most common in adolescents and young men, but can occur at any age, including shortly after birth and even in older men. It is most common in boys during the period of rapid growth at puberty, and in those with a congenital anomaly called "Bell-Clapper anomaly" which makes the testicles more likely to twist.
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