Patient's question:
My child suddenly started feeling nauseous and vomiting, and kept saying their stomach hurt. I thought it might be gastroenteritis or food poisoning, but the hospital examination revealed it was testicular torsion. I am very worried about whether it will affect my child's future. Please ask: what should be done if there is testicular drooping?Doctor's answer:
Based on your description, it cannot be ruled out that there may be conditions such as orchitis or epididymitis. It is mostly caused by bacterial infection of the testicles, with the transmission route primarily being retrograde transmission. It often occurs in patients with lower urinary tract infections, prostatitis, post-urethral surgery, and those with long-term indwelling catheters, leading to epididymitis and orchitis. It can also spread to the testicles through the bloodstream, resulting in isolated orchitis. The causative pathogens are commonly Escherichia coli, Proteus, Staphylococcus, Enterococcus, and Pseudomonas aeruginosa. Clinical symptoms are mostly unilateral pain radiating to the groin, accompanied by fever, chills, nausea, and vomiting. The scrotal skin becomes red and swollen, with enlargement and tenderness of the testicles and epididymis, which may be accompanied by hydrocele.