‘I thought it was gas, but I had a torsion and my testicle necrotized’

‘I thought it was gas, but I had a torsion and my testicle necrotized’
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The risk factor is age. [Acomete mais] boys, young people, usually up to puberty, children and teenagers. Sometimes it can also happen at another age, but it is much less common.
Rodrigo Wilson Andrade, urologist at HAS (Albert Sabin Hospital)

Risks and treatment

There are several long-term effects of testicular torsion: there may be a reduction in fertility and testosterone production. Therefore, it is important to be monitored by a urologist and an endocrinologist after diagnosis, explains Magnus Dias, endocrinologist at the Brazilian Society of Endocrinology and Metabology (SBEM-SP).

The testicles can rotate and thus compromise blood supply due to torsion of the spermatic cord, a structure that contains arteries, veins, as well as the vas deferens and nerves. That’s why it causes so much pain, similar to a heart attack.
Magnus Dias, endocrinologist at SBEM-SP

In addition to the reduction in sperm production, there may be a drop in testosterone production, especially when both testicles are affected by torsion.. In general, when unilateral, the unaffected testicle can produce enough to maintain the individual’s testosterone levels at normal levels. In the case of Nickollas, as the twist was unilateral, the young man had no major consequences.

The article is in Portuguese

Tags: thought gas torsion testicle necrotized

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