Intermittent testicular torsion

Intermittent Testicular Torsion: Symptoms, Causes And How To Treat It

August 5, 2020

Testicular torsion is a condition that is common among male teenagers. Children and adults get it too, but they have a lower risk. Testicular torsion can be partial, complete, or intermittent. Well, today we will be focusing on intermittent testicular torsion.

There are different possible causes of testicular torsion as a whole. Knowing its cause, symptoms as well treatments could help with how to deal with the condition.


What Is Testicular Torsion?

It is known to be the most common cause of emergency among males when it comes to the male genital tract. It can be quite painful, that’s why immediate care is needed.

Men are known to have two testicles, and these are located inside the scrotum. There is a cord known as the spermatic cord that helps carry blood to the two testicles. When there is torsion, this means that the spermatic cord is twisted. When this happens, there is no flow of blood to the testicles, and this could cause them to die.

Testicular Torsion is very common. Especially among teenagers between the ages of 12-18. And about 65% of people in this age range have this condition. But then again, adults and children are also known to have this condition.


Intermittent Testicular Torsion

Intermittent torsion is known to be the sudden onset of scrotal pain at one side within a short period. On the other partial testicular torsion, it is a spermatic cord twist that is not up to 450 degrees. This would still allow little perfusion into the testicles. But take note that with intermittent torsion, there is no known spontaneous resolution.

Take note that when it comes to intermittent torsion, it is quite difficult to diagnose both sonographically and clinically. Let’s take a look at some of the symptoms of intermittent testicular torsion.

  • Unilateral scrotal pain
  • Vomiting
  • Nausea

The episodes of pain in the patient are usually high. People that have complete testicular torsion report to have that level of pain on occasions before. This suggests that some patients with complete testicular torsion may have intermittent testicular torsion before that was missed.


What Causes Intermittent Testicular Torsion

There are different possible causes of this condition. Some of the possible causes are:

  • Congenital factors: For people that have this condition are known to have weaker connective tissue that occurs in some people with bell-clapper deformity wherein testicles move freely inside the scrotum. And this increases the risk of a person having testicular torsion.
  • Genetics: Some people have had this condition in their families. The risk of having it because of genetics is about 10%, which is very low.
  • Activities: You can have this condition when there is an injury to the groin area, or if you are physically active or sedentary.


How to Treat It

Usually, testicular torsion is an emergency. The testicles can be saved if the torsion happened within 6-12 hours. If it’s after 12 hours, then the testicles could have atrophied and died. For intermittent torsion, it would resolve on its own. But, it is best to seek medical help when you experience any symptoms of intermittent torsion as it may lead to complete torsion.

The surgical repair for this is orchiopexy. There are times that the doctor can do manual detorsion, which is fixing it by hand. If not, then surgery is the way out. To restore the blood flow, surgery is quickly performed by the doctor.

The fact that the pain comes and goes does not mean you should ignore it. Take note that early detection increases the chances of the testicles being saved.