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Painful after 1 day of going to the doctor, 16-year-old boy damaged his testicle

Testicular torsion cause subjective pain do not go to the doctor, after 1 day of necrosis

The first case is a male patient, 16 years old. One day before admission, the patient suddenly developed severe pain in the left testicle. After that, the patient felt less pain, so he subjectively did not go to the doctor.

By the time of examination, the patient’s testicles had begun to show signs of necrosis on ultrasound and laboratory tests. Although emergency surgery was indicated, testicular lesions were not reversible and had to be removed from the left testicle.

Image of foci of necrosis due to testicular torsion in a patient presenting 24 hours after the onset of pain.  Photo: BVCC

Image of necrotic foci on torsion testicle in a patient presenting 24 hours after the onset of pain. Photo: BVCC

The second case was a young man, 18 years old, with severe pain in his left testicle in the middle of the night. Because he was afraid to go to the emergency room, the patient was not admitted until early the next morning. Fortunately for the patient, right during the clinical examination, the doctors of the Department of Orthopedics, Hanoi Medical University Hospital, promptly discovered the condition. testicular torsion and indicated emergency surgery. Because of early and timely surgery, the patient’s testicle was saved.

Acute testicular pain is a fairly common and typical symptom in men. One of the most common reasons for this is because testicular torsion. However, it is the subjectivity and fear of the patient as well as the parents that lead to the delay in treatment. The end result leads to testicular necrosis and amputation.

So testicular torsion what? And what to do when there are symptoms of acute testicular pain?

The testicles are nourished by the blood vessels that run in the spermatic cord. Torsion occurs when the testicle rotates around its axis leading to acute ischemia.

The disease can occur at any age, however testicular torsion It is mainly seen in two main age groups: infancy and puberty, especially before the age of 18.

Testicular torsion: When there are signs of pain, you should seek medical attention immediately.  Photo: Pixabay

If you have symptoms of pain, seek medical attention immediately. Photo: Pixabay

Main symptoms of testicular torsion is sudden, severe, acute pain in the torsion lateral testicle. Visually, the testicles can be seen to be rotated horizontally and in a higher position than normal.

Another remarkable feature is that patients often feel more intense pain when lifting the testicle on the affected side with their hands. This is a significant finding to differentiate torsion from orchitis. However, there are also cases where the patient only has a dull ache, leading to psychological concerns about examination.

Without timely intervention, irreversible damage to testicular structure and function will begin to appear after 4-8 hours. Therefore, for the patient testicular torsiontime is gold.

The ability to “save” the testicles is quite high for patients who arrive before 6 hours, up to 90-100%. The rate of successful testicular preservation falls below 50% if the patient arrives after 12 hours and especially less than 10% if the patient arrives after 24 hours.

Loss of one testicle has little direct impact on the general health of the body, but it can have a serious impact on sexual and reproductive health. Besides, the fact that only one testicle remains has a great influence on the psychology of patients, especially in young people.

Therefore, patients need to be very vigilant, should not be subjective when seeing abnormal signs in the testicle area, especially acute pain to avoid unfortunate consequences later. Seek immediate medical attention if you have any symptoms testicular torsion. In addition, it is also necessary to choose a reputable facility with a specialist in Orthopedics for timely examination, diagnosis and treatment to avoid unfortunate events.

The topic “Men’s health” is deployed by Dan Viet electronic newspaper editor from September 15, 2021 regularly on Wednesdays and Sundays with the help of leading doctors. Department of Andrology and Sex Medicine – Hanoi Medical University Hospital.

Not only scientific data, the stories and situations mentioned in the article are completely true, which is a reliable basis for readers’ reference.

We hope to partly answer the questions that are not easy to share from men, thereby helping you to aim for “performance and bravery” in front of women, as well as a more stable and successful mentality. in life.

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