Posted By: Dr. Ankit Tyagi

The Pain You Should Never Ignore: Understanding Testicular Torsion

By Dr. Ankit Tyagi – Urologist

Testicular torsion is one of the most urgent and painful urological emergencies affecting boys, teenagers, and young men. It occurs when the spermatic cord twists, cutting off the blood supply to the testicle. Without immediate medical attention, this condition can cause permanent damage or even loss of the testicle. At our practice in Sir Ganga Ram Hospital, many families and young patients consult Dr. Ankit Tyagi—widely trusted as the best urologist in Delhi—to understand the symptoms, risks, and timely treatment options for testicular torsion. This blog explains everything you need to know in a clear, professional, and easy-to-understand way.

Understanding Testicular Torsion

Inside the scrotum, each testicle hangs from a structure called the spermatic cord, which carries blood to the testicles.
When this cord twists, blood flow stops — causing sudden, severe pain and swelling.

Why does it happen?

The main reason is a condition known as bell-clapper deformity, where the testicles are not properly attached, making them more mobile and likely to twist.

Who is at risk?

Boys aged 12–18 (most common)
Infants
Young adults
Those with a family history of testicular torsion

Because early symptoms may be ignored, awareness is critical. If you suspect torsion, consult a specialist such as the Best Urologist in Delhi immediately.

Symptoms of Testicular Torsion

Testicular torsion usually appears suddenly and intensely. The most common signs include:

Severe, sudden testicular pain
Swelling on one side of the scrotum
Redness or tightness of the scrotal skin
Abdominal pain or nausea
High-riding testicle
Pain worsening with movement

These symptoms require urgent medical care. Delaying treatment increases the risk of permanent damage.
Many parents rely on the guidance of the Best Urologist in Delhi to correctly identify symptoms and act quickly.

Why Is Testicular Torsion a Medical Emergency?

Time is the most important factor.
Here’s what happens if the twisted cord is not treated:

Within 6 hours: High chance of saving the testicle
6–12 hours: Risk becomes significant
After 12 hours: Severe damage likely
After 24 hours: Testicle may no longer be viable

Without blood supply, the tissue begins to die.
This is why immediate evaluation by a specialist such as the Best Urologist in Delhi is essential.

Diagnosis of Testicular Torsion

A urologist can usually diagnose torsion through:

1. Physical Examination

Checking pain location and testicle position.

2. Ultrasound With Doppler

To evaluate blood flow to the testicles.

3. Medical History

Understanding the patient’s age, pain pattern, and sudden onset.

Even a slight delay can impact outcomes. When in doubt, the doctor may proceed with surgery urgently — a decision trusted experts like the Best Urologist in Delhi take confidently to save the testicle.

Treatment: What Happens During Surgery?

Surgery is the only effective treatment for testicular torsion.

The Procedure

The twisted testicle is untwisted carefully.
Blood flow is restored.
The testicle is secured (orchiopexy) to prevent future torsion.
The other testicle is also secured as a preventive step.

If the blood supply is too damaged

In severe cases, the testicle may need to be removed (orchiectomy). This is rare if treatment is received early.

Most patients recover quickly and return to normal activities within a few weeks.

Can Testicular Torsion Be Prevented?

In many cases, it cannot be completely prevented.
However, securing the testicles through preventive surgery (orchiopexy) greatly reduces the risk, especially in those with bell-clapper deformity or a family history.

If your child or teenager complains of repeated testicular pain, a consultation with the Best Urologist in Delhi is strongly recommended.

Possible Long-Term Effects

If treated early, most individuals have no long-term problems.
However, delayed treatment may cause:

Reduced fertility
Hormonal issues
Chronic pain
Loss of one testicle
Psychological distress

This shows the importance of early detection and prompt care.

When Should You See a Urologist?

If you or your child experiences:

sudden testicular pain
swelling
nausea
discomfort

Seek immediate help.
Early evaluation by the Best Urologist in Delhi, such as Dr. Ankit Tyagi, ensures the highest chance of saving the testicle and preventing complications.