Sudden testicular pain is never normal—and when it comes on sharply and intensely, it could signal testicular torsion, a medical emergency that needs immediate attention. Ignoring the symptoms or delaying treatment could result in permanent damage or even loss of the testicle.

In this blog, let’s break down what testicular torsion is, why it happens, how to recognize it early, and the urgent steps you should take if it occurs.

What Is Testicular Torsion?

Testicular torsion occurs when the spermatic cord (which supplies blood to the testicle) twists, cutting off the testicle’s blood supply. Without prompt treatment—usually surgery—the tissue can become damaged due to lack of oxygen, potentially leading to testicular loss.

Most cases happen in teenagers and young men, but torsion can occur at any age—even in infants.

What Causes Testicular Torsion?

In many cases, the exact cause is unknown. However, some people are born with a condition called a “bell-clapper deformity”, where the testicle is more mobile and prone to twisting.

Other contributing factors include:

• Sudden physical activity or trauma
• Rapid growth during puberty
• Cold weather (which can cause sudden muscle contractions)
• Previous episodes of testicular pain (a warning sign of intermittent torsion)

What Are the Symptoms of Testicular Torsion?

The symptoms typically appear suddenly and are hard to miss:

• Severe, sudden pain in one testicle
• Swelling or redness of the scrotum
• Abdominal pain or nausea
• Testicle positioned higher than normal or at an unusual angle
• Pain worsening over time or not relieved by rest

How Is It Diagnosed?

A urologist can often suspect torsion based on symptoms and physical examination. To confirm the diagnosis, doctors may use:

• Doppler Ultrasound: Measures blood flow to the testicles. Reduced or absent flow confirms torsion.
• Urine Test: To rule out infection.
• Physical Exam: Checks testicle position, swelling, and pain response.

Why Is Prompt Treatment So Critical?

Testicular torsion is a race against time. The longer the blood supply is cut off, the greater the chance of irreversible damage. Here’s how time impacts testicle survival:

• Within 6 hours: 90–100% chance of saving the testicle
• 6 to 12 hours: 50% chance
• Over 12 hours: Less than 10% chance

Treatment: What Happens During Surgery?

The only effective treatment for torsion is emergency surgery (called detorsion and orchidopexy). During the procedure:

• The twisted spermatic cord is untwisted
• The testicle is examined for viability
• If healthy, it’s stitched into place to prevent future torsion
• The other testicle is usually fixed as a precaution

If the testicle is found to be nonviable, it may need to be removed (orchiectomy).

Can Testicular Torsion Be Prevented?

For those with a family history or previous episodes of torsion, a preventive orchidopexy can be done to anchor the testicles and prevent twisting. This is especially considered in high-risk individuals.

Prevention may not always be possible, but knowing the signs can save the testicle.

Frequently Asked Questions

Q1. Can testicular torsion go away on its own?

No. While the pain may temporarily reduce, the underlying torsion needs surgical correction. Delay can cause testicle loss.

Q2. Is torsion always caused by injury?

No. It can happen spontaneously, especially in adolescents during sleep or physical activity.

Q3. Can torsion affect fertility?

Yes, especially if one or both testicles are damaged. Early treatment helps preserve fertility.

Q4. Is surgery always necessary?

Yes. Manual untwisting (detorsion) may be tried in rare situations, but surgery is essential to confirm and prevent recurrence.

Q5. Can Adults Get Testicular Torsion, Too?

Yes. Though more common in teens, it can occur in adults and should never be ruled out based on age alone.

Seek Urgent Care from Dr. Rahul Yadav – Leading Urologist in Delhi NCR

If you or a loved one experiences sudden testicular pain, don’t wait. Dr. Rahul Yadav, a trusted Urologist and Andrologist in Delhi NCR, offers immediate evaluation and expert surgical intervention for emergencies like testicular torsion. With advanced diagnostic tools and years of surgical experience, Dr. Yadav ensures quick, accurate, and compassionate care when every second matters.

Your health, comfort, and future fertility are too important to risk. Book an urgent consultation with Dr. Rahul Yadav today and protect your health with expert hands.