Sometimes the testicular torsion comes and goes

Testicular torsion is a serious condition where the spermatic cord, which supplies blood to the testicles, twists and cuts off the blood flow. This can cause sudden, severe pain and swelling in the testicles. While testicular torsion is typically an emergency that requires immediate treatment, some individuals may experience intermittent or "come and go" torsion, known as intermittent testicular torsion.

What is Intermittent Testicular Torsion?

Intermittent testicular torsion occurs when the testicle temporarily twists and untwists on its own. This can lead to periods of pain followed by relief when the testicle untwists. While the pain may come and go, this condition should not be ignored, as it can become a full torsion at any time, leading to permanent damage if left untreated.

Symptoms of Intermittent Testicular Torsion

• Sudden, sharp pain in one testicle that may last for minutes to hours.
• The pain often goes away suddenly when the testicle untwists, but it can recur.
• Swelling or tenderness in the testicle during episodes of pain.
• Sometimes, the testicle may appear higher than usual or in an unusual position.
• Nausea or vomiting may accompany the pain during an episode.

Why It’s Dangerous

Even if the pain subsides on its own, intermittent testicular torsion can lead to a full torsion, where the testicle remains twisted and blood flow is completely cut off. If a full torsion is not treated within 6-8 hours, it can cause permanent damage to the testicle, potentially leading to its removal.

What Should You Do?

If you experience recurring episodes of testicular pain, it’s important to seek medical attention as soon as possible. Your doctor may recommend surgery to prevent future torsion and protect the testicle. The surgical procedure, called orchiopexy, involves securing the testicle in place to prevent it from twisting again.

When to Seek Emergency Care

• If you experience severe, sudden pain in the testicle that does not go away, seek emergency medical care immediately.
• Testicular torsion is a surgical emergency and requires immediate intervention to save the testicle.

Conclusion

Intermittent testicular torsion is a condition that should not be ignored, even if the pain subsides on its own. Consult a healthcare provider if you experience recurring testicular pain, and seek emergency care if the pain becomes constant or severe.