{"id":4884,"date":"2022-04-01T08:00:00","date_gmt":"2022-04-01T01:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=4884"},"modified":"2026-08-26T23:03:54","modified_gmt":"2026-08-26T16:03:54","slug":"%ea%b0%84%ed%97%90%ec%a0%81-%ea%b3%a0%ed%99%98-%ec%97%bc%ec%a0%84","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/ko\/2022\/04\/01\/intermittent-testicular-torsion\/","title":{"rendered":"Intermittent Testicular Torsion: Recurring Pain That Stops on Its Own"},"content":{"rendered":"\n<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-52275889 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full is-style-rounded\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"7037\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ko\/new-photo-2024\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" data-orig-size=\"800,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=800%2C800&#038;ssl=1\" alt=\"Best Urologist working in Chonburi and Cambodia\" class=\"wp-image-7037\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?w=800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=768%2C768&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=12%2C12&amp;ssl=1 12w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=600%2C600&amp;ssl=1 600w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=400%2C400&amp;ssl=1 400w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=200%2C200&amp;ssl=1 200w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:75%\">\n<p class=\"wp-block-paragraph\"><strong><a href=\"https:\/\/drsoaraweeurology.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Soarawee Weerasopone, Urologist<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Bangkok hospital Headquarter, Bangkok<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"tel:+66880221445\" target=\"_blank\" rel=\"noreferrer noopener\">Samitivej Sriracha Hospital \u2014 Urology department: <strong>088-022-1445<\/strong><\/a><\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link has-background-background-color has-text-color has-background has-link-color has-small-font-size has-custom-font-size wp-element-button\" href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" style=\"color:#1b4965\" target=\"_blank\" rel=\"noreferrer noopener\">Book a Consultation<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<ul class=\"wp-block-social-links aligncenter has-normal-icon-size is-style-default coblocks-animate is-content-justification-center is-layout-flex wp-container-core-social-links-is-layout-3e41869c wp-block-social-links-is-layout-flex\"><li class=\"wp-social-link wp-social-link-wordpress wp-block-social-link\"><a href=\"https:\/\/drsoaraweeurology.com\/\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M12.158,12.786L9.46,20.625c0.806,0.237,1.657,0.366,2.54,0.366c1.047,0,2.051-0.181,2.986-0.51 c-0.024-0.038-0.046-0.079-0.065-0.124L12.158,12.786z M3.009,12c0,3.559,2.068,6.634,5.067,8.092L3.788,8.341 C3.289,9.459,3.009,10.696,3.009,12z M18.069,11.546c0-1.112-0.399-1.881-0.741-2.48c-0.456-0.741-0.883-1.368-0.883-2.109 c0-0.826,0.627-1.596,1.51-1.596c0.04,0,0.078,0.005,0.116,0.007C16.472,3.904,14.34,3.009,12,3.009 c-3.141,0-5.904,1.612-7.512,4.052c0.211,0.007,0.41,0.011,0.579,0.011c0.94,0,2.396-0.114,2.396-0.114 C7.947,6.93,8.004,7.642,7.52,7.699c0,0-0.487,0.057-1.029,0.085l3.274,9.739l1.968-5.901l-1.401-3.838 C9.848,7.756,9.389,7.699,9.389,7.699C8.904,7.67,8.961,6.93,9.446,6.958c0,0,1.484,0.114,2.368,0.114 c0.94,0,2.397-0.114,2.397-0.114c0.485-0.028,0.542,0.684,0.057,0.741c0,0-0.488,0.057-1.029,0.085l3.249,9.665l0.897-2.996 C17.841,13.284,18.069,12.316,18.069,11.546z M19.889,7.686c0.039,0.286,0.06,0.593,0.06,0.924c0,0.912-0.171,1.938-0.684,3.22 l-2.746,7.94c2.673-1.558,4.47-4.454,4.47-7.771C20.991,10.436,20.591,8.967,19.889,7.686z M12,22C6.486,22,2,17.514,2,12 C2,6.486,6.486,2,12,2c5.514,0,10,4.486,10,10C22,17.514,17.514,22,12,22z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">\uc6cc\ub4dc\ud504\ub808\uc2a4<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-linkedin wp-block-social-link\"><a href=\"https:\/\/www.linkedin.com\/in\/soarawee-weerasopone\/\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M19.7,3H4.3C3.582,3,3,3.582,3,4.3v15.4C3,20.418,3.582,21,4.3,21h15.4c0.718,0,1.3-0.582,1.3-1.3V4.3 C21,3.582,20.418,3,19.7,3z M8.339,18.338H5.667v-8.59h2.672V18.338z M7.004,8.574c-0.857,0-1.549-0.694-1.549-1.548 c0-0.855,0.691-1.548,1.549-1.548c0.854,0,1.547,0.694,1.547,1.548C8.551,7.881,7.858,8.574,7.004,8.574z M18.339,18.338h-2.669 v-4.177c0-0.996-0.017-2.278-1.387-2.278c-1.389,0-1.601,1.086-1.601,2.206v4.249h-2.667v-8.59h2.559v1.174h0.037 c0.356-0.675,1.227-1.387,2.526-1.387c2.703,0,3.203,1.779,3.203,4.092V18.338z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">LinkedIn<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-mail wp-block-social-link\"><a href=\"mailto:bhquro@bdms.co.th\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M19,5H5c-1.1,0-2,.9-2,2v10c0,1.1.9,2,2,2h14c1.1,0,2-.9,2-2V7c0-1.1-.9-2-2-2zm.5,12c0,.3-.2.5-.5.5H5c-.3,0-.5-.2-.5-.5V9.8l7.5,5.6,7.5-5.6V17zm0-9.1L12,13.6,4.5,7.9V7c0-.3.2-.5.5-.5h14c.3,0,.5.2.5.5v.9z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">\uba54\uc77c<\/span><\/a><\/li><\/ul>\n\n\n\n<style>\n\/* Hover effect for Social Dr Pom Block - Social Icons *\/\n.wp-block-social-links .wp-social-link {\n  transition: transform 0.2s ease, opacity 0.2s ease !important;\n}\n.wp-block-social-links .wp-social-link:hover {\n  transform: scale(1.15);\n  opacity: 0.9;\n}\n<\/style>\n\n<div class=\"dr-pom-academic-icons\" style=\"display: flex; gap: 16px; margin-top: 12px; align-items: center; justify-content: center;\">\n  \n  <a href=\"https:\/\/www.researchgate.net\/profile\/Soarawee-Weerasopone\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"ResearchGate Profile\"\n     aria-label=\"View ResearchGate Profile\"\n     style=\"text-decoration: none; color: #00CCBB; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M19.586 0c-.818 0-1.508.19-2.073.565-.563.377-.97.936-1.213 1.68a3.193 3.193 0 0 0-.112.437 8.365 8.365 0 0 0-.078.53 9 9 0 0 0-.05.727c-.01.282-.013.621-.013 1.016a31.121 31.121 0 0 0 .014 1.017 9 9 0 0 0 .05.727 7.946 7.946 0 0 0 .077.53h.001c.024.115.06.262.112.438.243.743.65 1.303 1.213 1.68.565.376 1.255.564 2.073.564.8 0 1.536-.213 2.105-.603.57-.39.94-.916 1.175-1.65.076-.235.135-.558.177-.93a15.4 15.4 0 0 0 .063-1.207v-.512a.27.27 0 0 0-.273-.273h-2.95a.27.27 0 0 0-.274.273v.785c0 .228.0.343.273.343h1.337c.094 0 .14.045.14.137 0 .61-.063 1.043-.155 1.318-.182.546-.7 1.018-1.683 1.018-.654 0-1.135-.114-1.475-.356-.34-.244-.55-.585-.658-1.024a3.797 3.797 0 0 1-.111-.43 5.515 5.515 0 0 1-.06-.51 19.85 19.85 0 0 1-.025-.726c-.004-.28-.004-.628-.004-1.045 0-.418 0-.766.004-1.046a19.85 19.85 0 0 1 .025-.726 5.475 5.475 0 0 1 .06-.51 3.785 3.785 0 0 1 .111-.43c.108-.44.318-.78.658-1.024.34-.243.82-.357 1.475-.357.6 0 1.064.078 1.413.293.347.215.595.515.74.91.063.155.166.21.31.156l.967-.4c.15-.058.187-.18.13-.32a3.025 3.025 0 0 0-1.262-1.452C21.12.218 20.428.0 19.586 0zM8.512 4.32c-2.7 0-4.066.997-4.066 3.06v.04c0 1.92.992 2.83 3.046 2.83 1.27 0 2.038-.39 2.385-1.05h.13l.067.51c.04.2.207.34.41.34h.99V7.95c0-2.59-1.06-3.63-2.962-3.63zm-.18 1.61c1.118 0 1.628.56 1.628 1.86v.4l-1.65.16c-1.35.13-1.86.46-1.86 1.13v.04c0 .67.41 1.06 1.45 1.06.85 0 1.55-.32 1.93-.84.04-.06.13-.07.18-.02.05.03.07.1.07.16v.43c0 .26.13.42.34.42h1.05c.21 0 .34-.16.34-.42v-3.6c0-1.94-1.13-2.83-3.46-2.83-1.94 0-3.07.86-3.4 2.04l1.55.45c.18-.69.6-1.04 1.83-1.04zM2.135 16.314c-.587 0-1.066-.156-1.434-.469-.367-.312-.618-.704-.752-1.176-.034-.124-.061-.232-.082-.327a3.794 3.794 0 0 1-.044-.366 8.83 8.83 0 0 1-.022-.547C0 13.221 0 12.985 0 12.704c0-.281 0-.515.001-.704a8.81 8.81 0 0 1 .022-.547 3.802 3.802 0 0 1 .044-.366c.02-.094.048-.203.082-.328.134-.471.385-.864.752-1.176.368-.313.847-.469 1.434-.469.477 0 .892.087 1.246.262.353.175.622.443.806.804.044.083.083.157.117.222.034.066.069.144.105.235.022.054.011.099-.034.135l-.66.292c-.045.027-.082.013-.112-.045a4.043 4.043 0 0 0-.155-.27 1.247 1.247 0 0 0-.49-.495c-.225-.131-.522-.196-.892-.196-.402 0-.726.064-.972.193-.247.13-.422.302-.527.518-.027.045-.054.099-.082.16a1.39 1.39 0 0 0-.067.197 2.46 2.46 0 0 0-.05.282 5.51 5.51 0 0 0-.033.43c-.008.17-.013.376-.013.617 0 .242.005.448.013.618.008.17.02.314.034.43.013.117.03.21.05.282.02.072.042.137.066.197.105.216.28.39.527.518.246.13.57.193.972.193.4 0 .714-.07.94-.21.227-.14.394-.346.503-.617a2.43 2.43 0 0 0 .104-.395c.018-.123.027-.282.027-.477V13.2H2.34c-.04 0-.06-.02-.06-.062v-.5c0-.04.02-.062.06-.062h1.812c.04 0 .062.02.062.06v.5c0 .156-.005.296-.014.422a4.71 4.71 0 0 1-.04.342 1.732 1.732 0 0 1-.064.262c-.13.523-.402.913-.815 1.17-.413.255-.95.382-1.61.382z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/orcid.org\/0009-0004-8387-3559\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"ORCID iD\"\n     aria-label=\"View ORCID Profile\"\n     style=\"text-decoration: none; color: #A6CE39; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M12 0C5.372 0 0 5.372 0 12s5.372 12 12 12 12-5.372 12-12S18.628 0 12 0zM7.369 4.378c.525 0 .947.431.947.947 0 .525-.422.947-.947.947-.525 0-.946-.422-.946-.947 0-.525.421-.947.946-.947zm-.722 3.038h1.444v10.041H6.647V7.416zm3.562 0h3.9c3.712 0 5.344 2.653 5.344 5.025 0 2.578-2.016 5.025-5.325 5.025h-3.919V7.416zm1.444 1.303v7.444h2.297c3.272 0 4.022-2.484 4.022-3.722 0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"Google Scholar\"\n     aria-label=\"View Google Scholar Profile\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\">If the pain is happening now<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Go to an emergency department.<\/strong> Everything on this page is about episodes that have already settled. Pain that is present now, and severe, is treated as <a href=\"https:\/\/drsoaraweeurology.com\/2021\/02\/19\/testicular-torsion-urologic-emer\/\">testicular torsion<\/a> until proved otherwise, and what can be saved is decided in hours. In Thailand, call <strong>1669<\/strong>.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Urology center Bangkok hospital Thailand\u00a0<a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Booking online<\/a>\u00a0<a href=\"tel:02-310-3009\">02-310-3009<\/a>\u00a0<a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a><\/li>\n\n\n\n<li>Samitivej Sriracha hospital Chonburi&nbsp;<a href=\"tel:088-022-1445\">088-022-1445<\/a><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">The pattern<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Men and boys arrive at the emergency department in extraordinary pain \u2014 unable to do anything but lie still. Then, sometimes before anyone has examined them, it stops. The testicle has twisted and untwisted on its own.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That is intermittent testicular torsion, and its whole difficulty lies in the fact that it resolves. By the time the scan is done everything looks normal, everyone relaxes, and the patient goes home \u2014 until it happens again, or until the twist that does not undo itself.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"4896\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ko\/2022\/04\/01\/intermittent-testicular-torsion\/male-at-emergency\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/03\/Male-at-Emergency.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;Freepik Company S.L. - www.freepik.com&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Patients were always at the emergency room with a severe testicular pain.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Patients were always at the emergency room with a severe testicular pain.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/03\/Male-at-Emergency.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/03\/Male-at-Emergency.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Young man in severe testicular pain at the emergency department, the typical presentation of intermittent torsion\" class=\"wp-image-4896\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/03\/Male-at-Emergency.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/03\/Male-at-Emergency.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/03\/Male-at-Emergency.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/03\/Male-at-Emergency.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/03\/Male-at-Emergency.jpg?resize=18%2C12&amp;ssl=1 18w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">The pain is severe enough that people cannot stand \u2014 and then it goes, which is exactly what makes it easy to dismiss.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">What the episodes look like<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Sudden onset at full severity<\/strong> \u2014 not a pain that builds over hours.<\/li>\n\n\n\n<li><strong>One side only<\/strong>, often with pain running up into the groin. It is reported somewhat more often on the left, but the right side is affected too, and which side it is tells you very little on its own.<\/li>\n\n\n\n<li><strong>It settles by itself<\/strong>, typically within an hour, sometimes faster. Some episodes last longer.<\/li>\n\n\n\n<li><strong>It comes back<\/strong> \u2014 weeks or months later, with the same character.<\/li>\n\n\n\n<li>Nausea during the episode is common, as it is in full torsion.<\/li>\n\n\n\n<li>During an attack the testicle may sit unusually high, or lie across rather than up and down \u2014 a useful sign, and one that has usually disappeared by the time anyone examines it.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Most often this happens to adolescents and young men, but not exclusively. Parents of a boy who has had one of these episodes should mention it even if it lasted ten minutes and he now seems perfectly well.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Why the scan does not settle it \u2014 in either direction<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">This is the part worth reading twice, because the logic runs both ways and the earlier version of this article gave only one of them.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Between episodes, a normal Doppler ultrasound is expected and means nothing.<\/strong> The blood supply has been restored because the testicle untwisted. A normal scan in a boy describing this history does not make the history less worrying \u2014 it is exactly what the diagnosis predicts.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>And during an episode, a normal scan does not exclude torsion either.<\/strong> Flow can still be detected in a testicle that is twisted, particularly where the rotation is partial. A normal ultrasound must therefore never be the reason someone in current severe pain is sent home. Where the story and examination fit, exploration is the answer rather than reassurance.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In both situations the diagnosis rests on what the patient describes, not on the picture. <strong>Intermittent torsion is diagnosed by history.<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"4897\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ko\/2022\/04\/01\/intermittent-testicular-torsion\/surgeons-performing-operation-in-operation-room-5\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/03\/Orchiopexy.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;Surgeons performing operation in operation room at the hospital&quot;,&quot;created_timestamp&quot;:&quot;1470109062&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;Surgeons performing operation in operation room&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"It is recommended to do testicular fixation operation or Orchiopexy.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;It is recommended to do testicular fixation operation or Orchiopexy.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/03\/Orchiopexy.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/03\/Orchiopexy.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Orchiopexy, the operation fixing the testicle to the scrotal wall to prevent further torsion\" class=\"wp-image-4897\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/03\/Orchiopexy.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/03\/Orchiopexy.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/03\/Orchiopexy.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/03\/Orchiopexy.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/03\/Orchiopexy.jpg?resize=18%2C12&amp;ssl=1 18w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Fixation is a planned operation \u2014 the same procedure done in an emergency, but with no clock running.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Why this is worth acting on<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The anatomy that lets a testicle rotate does not correct itself. Each episode is the same event that, on some occasion, will not undo \u2014 and by then the outcome depends on how quickly someone reaches an operating theatre.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Orchiopexy<\/strong> stitches the testicle to the scrotal wall so it cannot rotate. <strong>Both sides are fixed<\/strong>, because the anatomy responsible is usually present on both. Done electively it is a short, planned operation with no emergency, no period without blood supply, and no question of whether the testicle survives.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The comparison is stark, and it is the reason this article exists. <strong>The same operation, done in advance, saves the testicle with certainty. Done in an emergency, it saves it only if you got there in time.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">While waiting for surgery there is nothing you need to avoid \u2014 attacks are not reliably brought on by anything you can control. What matters is knowing that an episode which does not settle within a short time is the one to go to hospital for.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Symptoms that need attention the same day<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Severe testicular pain that is not settling<\/strong> \u2014 go now, rather than waiting to see whether it passes as usual.<\/li>\n\n\n\n<li>An episode lasting longer than previous ones, or one leaving persistent ache and swelling afterwards.<\/li>\n\n\n\n<li>Severe pain with nausea, vomiting or a swollen scrotum.<\/li>\n\n\n\n<li>A new lump in a testicle, which is a different problem and also needs assessing.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions About Intermittent Testicular Torsion<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">How is it different from ordinary testicular torsion?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">It is the same event that undoes itself. The testicle twists on the cord, the pain is identical, and then it untwists spontaneously and the pain disappears. Full torsion does not undo, which is why it becomes an emergency. Recognising the intermittent form identifies the same anatomy before it causes permanent harm.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">My ultrasound was normal. Does that rule it out?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">No, and between episodes a normal scan is exactly what the diagnosis predicts, since the blood supply has been restored. It is diagnosed on the history. Equally, during an episode a normal scan does not exclude torsion either \u2014 flow can persist with partial rotation \u2014 so a normal ultrasound should never be the reason someone in current severe pain is sent home.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">What are the warning signs?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Sudden severe pain in one testicle, at full intensity from the start, often radiating to the groin, settling by itself usually within an hour, and recurring weeks or months later. During the attack the testicle may sit high or lie across rather than up and down.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">The pain has gone. Do I still need surgery?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">That is the point of recognising it. The anatomy allowing rotation does not correct itself, and the same twist will eventually fail to undo. Fixing both testicles as a planned operation prevents that, and it is a far better operation than the same one performed as an emergency with the testicle already deprived of blood.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Why fix both sides if only one hurts?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Because the anatomical variant that allows a testicle to rotate is usually present on both sides. Fixing only the symptomatic side leaves the other one exposed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Arranging a consultation<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">If you or your son has had recurring episodes of sudden severe testicular pain that settled on their own, Dr. Soarawee Weerasopone sees patients at <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\">Bangkok Hospital Headquarters<\/a> and at Samitivej Sriracha Hospital in Chonburi on <a href=\"tel:0880221445\">088-022-1445<\/a>. Bring the dates and rough duration of each episode \u2014 that history is the diagnosis, and it is worth writing down before the appointment.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bangkok Hospital Telemedicine is available for non-urgent consultations, including for international patients \u2014 arrange it in advance by email to the Urology department at <a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a>. Samitivej Sriracha is in-person only. Enquiries about cost are answered by the hospital, not by this website. <strong>Pain that is happening now goes to an emergency department, not to email.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Disclaimer:<\/strong> This content is written and reviewed by Dr. Soarawee Weerasopone, a board-certified urologist at Bangkok Hospital Headquarters, and is intended for education only. It is not medical advice, diagnosis or a prescription for any individual, and no advice, diagnosis or prescription is given through personal messaging channels or social media. Dr. Soarawee operates no public social media account; any account offering private consultation in his name is fraudulent. In an emergency in Thailand, call <strong>1669<\/strong>.<\/p>\n\n\n\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@graph\": [\n    {\n      \"@type\": \"MedicalWebPage\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2022\/04\/01\/intermittent-testicular-torsion\/#webpage\",\n      \"url\": \"https:\/\/drsoaraweeurology.com\/2022\/04\/01\/intermittent-testicular-torsion\/\",\n      \"name\": \"Intermittent Testicular Torsion: Recurring Pain That Stops on Its Own\",\n      \"description\": \"Recurrent episodes of sudden severe testicular pain that resolve spontaneously indicate intermittent torsion. Diagnosis rests on history rather than imaging, and elective bilateral orchiopexy prevents eventual testicular loss.\",\n      \"inLanguage\": \"en\",\n      \"datePublished\": \"2022-04-01\",\n      \"dateModified\": \"2026-08-26\",\n      \"isPartOf\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#website\" },\n      \"author\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"reviewedBy\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"publisher\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"about\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/2022\/04\/01\/intermittent-testicular-torsion\/#itt\" },\n      \"audience\": { \"@type\": \"MedicalAudience\", \"audienceType\": \"Patient\" },\n      \"disambiguatingDescription\": \"The earlier version stated that a normal Doppler ultrasound is the expected finding between episodes but did not state the converse, that a normal scan during an episode does not exclude torsion, since flow may persist with partial rotation. Both directions are now given, because the second determines whether a patient in current pain is sent home. Guidance for a reader experiencing pain at the time of reading was absent and now opens the page. The left-sided predominance is presented as a tendency rather than a diagnostic criterion. Orchiopexy is specified as bilateral, since the predisposing anatomy is usually present on both sides, consistent with the companion article on acute torsion.\"\n    },\n    {\n      \"@type\": \"MedicalCondition\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2022\/04\/01\/intermittent-testicular-torsion\/#itt\",\n      \"name\": \"Intermittent testicular torsion\",\n      \"description\": \"Recurrent torsion of the testis on the spermatic cord with spontaneous detorsion, producing episodes of abrupt severe unilateral testicular pain that resolve without intervention, typically within an hour, and recur over weeks to months.\",\n      \"signOrSymptom\": \"Abrupt severe unilateral testicular pain at full intensity, often radiating to the groin, with spontaneous resolution and recurrence. During an episode the testis may be high-riding or transversely orientated.\",\n      \"typicalTest\": {\n        \"@type\": \"MedicalTest\",\n        \"name\": \"Doppler ultrasound of the scrotum\",\n        \"description\": \"Normal between episodes, which is the expected finding and does not refute the diagnosis. During an episode a normal study does not exclude torsion, as flow may persist with partial rotation. Diagnosis is clinical, resting on the history.\"\n      },\n      \"possibleTreatment\": {\n        \"@type\": \"MedicalProcedure\",\n        \"name\": \"Elective bilateral orchiopexy\",\n        \"howPerformed\": \"Both testes are fixed to the scrotal wall to prevent rotation, since the predisposing anatomical variant is usually bilateral. Performed electively, this avoids the ischaemic time and uncertain salvage of emergency exploration.\"\n      },\n      \"possibleComplication\": \"Progression to acute testicular torsion with infarction and loss of the testis where the condition is unrecognised.\"\n    },\n    {\n      \"@type\": \"FAQPage\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2022\/04\/01\/intermittent-testicular-torsion\/#faq\",\n      \"isPartOf\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/2022\/04\/01\/intermittent-testicular-torsion\/#webpage\" },\n      \"mainEntity\": [\n        {\n          \"@type\": \"Question\",\n          \"name\": \"How is intermittent testicular torsion different from ordinary torsion?\",\n          \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"It is the same event that undoes itself. The testicle twists, the pain is identical, then it untwists spontaneously and the pain disappears. Full torsion does not undo, which is why it becomes an emergency.\" }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"My scrotal ultrasound was normal. Does that rule out intermittent torsion?\",\n          \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"No. Between episodes a normal scan is exactly what the diagnosis predicts, since blood supply has been restored, and the diagnosis rests on history. During an episode a normal scan does not exclude torsion either, so it should never be the reason someone in current severe pain is sent home.\" }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"The pain has gone. Do I still need surgery?\",\n          \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"Yes. The anatomy allowing rotation does not correct itself and the same twist will eventually fail to undo. Elective fixation of both testicles prevents that and is far preferable to the same operation performed as an emergency.\" }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Why fix both sides if only one testicle hurts?\",\n          \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"Because the anatomical variant allowing rotation is usually present bilaterally. Fixing only the symptomatic side leaves the other exposed.\" }\n        }\n      ]\n    }\n  ]\n}\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>Sudden severe testicular pain that resolves within the hour and comes back weeks later. Because it settles by itself it gets dismissed \u2014 and because it settles by itself, the testicle can be fixed before the episode that does not.<\/p>","protected":false},"author":185281453,"featured_media":10058,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Recurring severe testicular pain that resolves spontaneously is a warning of intermittent torsion. Why a normal ultrasound between episodes proves nothing, and why fixation is offered.","jetpack_seo_html_title":"Intermittent Testicular Torsion: Warning Signs | Dr. Soarawee","jetpack_seo_noindex":false,"jetpack_seo_schema_type":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_wpcom_ai_launchpad_first_post":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"{title}\n\n{excerpt}\n\n{url}","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[1363],"tags":[1685,1454,1417],"class_list":["post-4884","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mens-health","tag-intermittent-testicular-torsion","tag-testicular-pain","tag-testicular-torsion"],"jetpack_publicize_connections":[],"jetpack_likes_enabled":false,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pgZdrK-1gM","jetpack_featured_media_url":"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/04\/Intermittent-Torsion.webp?fit=1200%2C630&ssl=1","_links":{"self":[{"href":"https:\/\/drsoaraweeurology.com\/ko\/wp-json\/wp\/v2\/posts\/4884","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drsoaraweeurology.com\/ko\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drsoaraweeurology.com\/ko\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/ko\/wp-json\/wp\/v2\/users\/185281453"}],"replies":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/ko\/wp-json\/wp\/v2\/comments?post=4884"}],"version-history":[{"count":18,"href":"https:\/\/drsoaraweeurology.com\/ko\/wp-json\/wp\/v2\/posts\/4884\/revisions"}],"predecessor-version":[{"id":11735,"href":"https:\/\/drsoaraweeurology.com\/ko\/wp-json\/wp\/v2\/posts\/4884\/revisions\/11735"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/ko\/wp-json\/wp\/v2\/media\/10058"}],"wp:attachment":[{"href":"https:\/\/drsoaraweeurology.com\/ko\/wp-json\/wp\/v2\/media?parent=4884"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/ko\/wp-json\/wp\/v2\/categories?post=4884"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/ko\/wp-json\/wp\/v2\/tags?post=4884"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}