Patient's question:
I recently sat down and noticed that the area where my buttocks touch the chair sometimes feels sore and aching. Roughly, I feel that the right testicle is more affected than the left. When I press the testicles with my hands, there's no pain. How come some people say it's testicular torsion? What is testicular torsion?Doctor's answer:
The testis is connected to the scrotum through the gubernaculum, which fixes the testis to the scrotum. Some fetuses may develop unilateral or bilateral gubernaculum hypermobility during growth and development. If the testis and spermatic cord are highly mobile, they may undergo a certain degree of retroversion again if suddenly exposed to forceful exertion or severe shock. This condition is known as spermatic cord inversion. Testicular torsion is often associated with developmental abnormalities of the testis. Hydrocele and varicocele can stimulate the vagus nerve, leading to excessive excitement. The symptoms include severe pain, testicular swelling, and the testis typically appearing horizontally. It may be accompanied by abdominal pain, fever, and gastrointestinal symptoms such as nausea and vomiting. Suspected testicular torsion should be promptly treated at the hospital for a thorough examination to prevent complications. In daily life, avoid intense exercise and consuming extremely cold or spicy foods.