Can testicular torsion occur in your twenties?

Testicular torsion may also occur in men in their 20s.

Testicular torsion can occur at any age, so it may also occur in men in their 20s. However, it is most common in teenagers, with the peak age being 13-18 years old. In addition, testicular torsion may also occur in newborns. Why does testicular torsion occur

A normal male has an oval testicle on each side of the scrotum, which is connected to the body through a cord-like tissue called the spermatic cord. The arteries that maintain the blood supply to the testicles are Through the main road of Jingso.

Under normal circumstances, the testis is wrapped by the tunica vaginalis and fixed by ligaments around it, so testicular torsion will not occur. However, when the parietal layer of the vaginal membrane extends too high in the spermatic cord, and the mesentery of the testicles or the testicular band is too long, the mobility of the testicles will be increased. In addition, due to rapid growth of testicles in adolescence, strenuous exercise or violent damage to the vagina, etc. prone to twisting.

Most cases of testicular torsion have no obvious cause. In some patients, it may occur while sleeping or just waking up. It may be because the vagus nerve is excited during sleep, and the cremaster muscle contracts and strengthens with the erection of the penis. If combined with anatomical abnormalities, torsion is more likely to occur at this time. Some patients develop it after strenuous exercise, sex, or trauma. In addition, it is also easily induced in the cold season or when the weather suddenly turns cold.

Symptoms of testicular torsion

1. Scrotal pain

When testicular torsion occurs, the patient will experience severe pain in the testicle and scrotum. When the torsion first occurs, the pain is still localized in the scrotum, and will develop to the lower abdomen and vagina later on.

2. Scrotal swelling

When the testicles are torsion, many patients will also experience vomiting, nausea or fever, and *** may experience redness, swelling, tenderness and other discomforts. In the early stage of torsion, the patient's scrotal skin may not change significantly. As time goes by, the scrotum may become red and swollen, and the testicles and epididymis on the affected side may even be swollen.

3. Changes in the spermatic cord

When patients with testicular torsion palpate the affected side, they will find that the spermatic cord becomes thicker and shorter, and sometimes torsion nodules can be palpated. Treatment methods for testicular torsion

Once testicular torsion is diagnosed, it should be treated as soon as possible to avoid prolonged testicular necrosis due to ischemia and the need for surgical removal.

1. Manual reduction

Once testicular torsion is diagnosed, within 12 hours, manual reduction can be tried immediately to correct it. Manual reduction may relieve torsion and restore blood supply to the testicles, allowing for future elective surgery.

During reduction, first inject 1% 5-10ml around the spermatic cord at the outer ring for block anesthesia, and implement reduction after 5 minutes. There are knot-like changes in the spermatic cord at the palpable torsion, which disappear immediately after successful reduction in the opposite direction. The pain was relieved quickly. Selective orchiopexy can be postponed to within 48 hours.

2. Surgical exploration and orchiopexy

If manual reduction fails, or testicular necrosis is suspected, or the diagnosis of testicular torsion cannot be ruled out, scrotal exploration should be performed immediately.

After the diagnosis of testicular torsion is made, time should be sought for immediate surgical reduction, and the operation should be completed within 6 hours of the onset of symptoms. After the torsion of the testicle is reset, normal blood supply is observed, and then the testicle, spermatic cord, and the inner sheath of the scrotum are fixed with interrupted sutures to avoid postoperative recurrence. If it is found during the operation that the testicular blood circulation is extremely poor and cannot be restored after reset, the testicle should be removed.

3. Contralateral orchiopexy

For all patients with testicular torsion, contralateral orchiopexy should also be performed at the same time. Because almost all such patients have bilateral testicular and scrotal anatomical defects, there is a risk of contralateral torsion in the future.