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Young man had to have his testicle removed because of pain but didn’t go to the doctor-Life Health

Saturday, May 21, 2022 19:00 PM (GMT+7)

A few days before being admitted to the hospital, suddenly a young man… appeared with severe pain in the left testicle, then the patient felt less pain, so he subjectively did not go to the doctor.

According to Dr. Nguyen Hoai Bac, in recent days, Hanoi Medical University Hospital continuously recorded cases of emergency surgery due to testicular torsion. It is noteworthy that these patients are all in their teens and come to the clinic when the golden time has passed to save the testicles.

Young man had to have his testicle removed because of pain but did not go to the doctor - 1

(Illustration).

The first case is a 16-year-old male patient, one day before he was admitted to the hospital, suddenly had severe pain in his left testicle. After that, the patient felt less pain, so he subjectively did not go to the doctor. By the time I went to the doctor, the testicles had begun to show signs of necrosis on ultrasound and laboratory tests. Although emergency surgery was indicated, the testicular lesions were not reversible and the left testicle was required to be removed.

The second case is 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, during the clinical examination, the doctors of the Department of Andrology and Sex Medicine – Hanoi Medical University Hospital promptly detected testicular torsion and ordered emergency surgery. Because of early and timely surgery, the patient’s testicle was saved.

According to doctors, acute testicular pain is a fairly common and typical symptom in men. One of the most common causes of this condition is 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 gangrene and the need to remove the testicle. So what is testicular torsion? 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, but testicular torsion is mainly seen in two main age groups: infancy and puberty, especially before the age of 18. The main symptom of testicular torsion is sudden, severe, acute pain in the testicle on the side of the torsion. 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 patients with testicular torsion, time is gold. The ability to “save” the testicles is quite high for patients who arrive before 6 hours, up to 90-100%. Testicular preservation success rates fall below 50% if the patient arrives after 12 hours and especially less than 10% if the patient arrives later. 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 there are signs suggestive of testicular torsion. In addition, it is also necessary to choose a reputable facility with a specialist in orthodontics for timely examination, diagnosis and treatment.

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