Patient's question:
Since the last school sports meet, I've been experiencing recurrent pain in my testicles. Could it be that I twisted them because I moved too vigorously?Doctor's answer:
Testicular torsion can be divided into two types: intracapsular type and extracapsular type. The possible causes may include: ① The tunica vaginalis wall layer attaches to the spermatic cord at a higher point; ② The gubernaculum is excessively long, enhancing the mobility of the testis; ③ A normal testis is surrounded by the tunica vaginalis wall layer, which is mostly connected to the epididymis. The posterior side of the epididymis has no direct adhesion to the scrotal wall. If the testis or epididymis is completely free within the tunica vaginalis, it forms a pendulous deformity with high mobility, making it prone to repeated testicular torsion. Undescended testes, hydrocele, mobility, and trauma can force a free testis to move excessively, leading to testicular torsion.