睾丸扭转：泌尿外科急症

最后更新： 2026年4月29日

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Several cases of patients who faced the testicular torsion-suspected were referred to my office. The presentation of the symptom will commonly show the pain of the testicular. This topic we will discuss about the truth of the emergency urologic condition — 睾丸扭转.

Not too much data on the testicular torsion incidence! It is considering that 1 among 4000 men who more likely younger than 25 years old experienced the testicular torsion annually. And it is rapidly to decreasing among aging. The mechanism of the torsion begins from the hyperactive of cremasteric reflex, the natural phenomenon when men experienced a cold environment and its scrotum become elevated up into the groin region. Normally this reflex releasing itself, but unfortunately it is happening when the reflex doesn’t disappear and become twisted, as sudden results it is prolonging and losing blood supply to the testicle. Remains the patients with this incident too long and the risk of testicular lost were reported.

很多 文学 寻找睾丸扭转的诱发因素，如下图：

1. 青少年
   • 所有证据证实，青春期前的报道最多
   • 在这个年龄段，快速的睾丸激素分泌可能会引起对睾丸反射的强烈刺激。

2. 贝尔拍板畸形
   • 先天性疾病使睾丸容易扭曲
   • 正常人群的12%被报告患有这种畸形情况
3. 寒冷的天气
   • 来自巴西的一份巨幅报告显示，睾丸扭转更可能发生在冬季，湿度也会降低
   • 天气越冷，睾丸反射越多

4. 睾丸扭转家族史
   • 报告有关家族相关的确证数据
   • 大多数情况下一次都发生睾丸扭转

The most common presentation of the symptom for testicular torsion is always single-side all sudden severe testicular pain without improving by any posture or any pain killer. The pain is so hard to describe and it makes patients couldn’t do anything and asked for someone to bringing them to the emergency unit. Once they meet urologist, a full medical history along with physical examination and proper imaging to confirm “No blood supply” on the affected testis will be taken.

The emergency surgical exploration of the scrotal sac must be done within 8 hours to releasing the twists testicle part before they are losing them. More than releasing of the blood supply, urologist must fix the testes and the scrotal walls to prevent the re-twist in the coming future. If you have any questions, please discuss with your trusted urologist or would be honor if you text 我.

If you or someone you know has sudden, severe testicular pain, seek emergency care immediately. For non-emergency urological consultations, Dr. Soarawee Weerasopone is available at Bangkok Hospital Headquarters. 预约咨询.

Frequently Asked Questions about Testicular Torsion

What is testicular torsion?

Testicular torsion is a urologic emergency in which the spermatic cord twists and cuts off blood supply to the testicle. It most commonly affects males under 25 years old and requires urgent surgical treatment to save the affected testicle.

What are the symptoms of testicular torsion?

The hallmark symptom is a sudden onset of severe, one-sided scrotal pain that does not improve with rest or pain medication. Nausea, vomiting, and scrotal swelling may also occur. The pain is often so severe that the patient cannot walk normally and requires emergency care.

Who is at highest risk of testicular torsion?

Adolescent males are at the highest risk due to rapid hormonal changes that may over-stimulate the cremasteric reflex. Other risk factors include bell clapper deformity (a congenital anatomical variant), cold weather exposure, and a family history of testicular torsion.

How is testicular torsion treated?

Emergency surgical exploration of the scrotum is the only definitive treatment. The surgeon untwists the spermatic cord and, if the testicle is viable, fixes both testicles to the scrotal wall to prevent future torsion. Surgery must be performed within 6–8 hours of symptom onset to maximize the chance of saving the testicle.

What happens if testicular torsion is not treated quickly?

If blood supply is not restored within 6–8 hours, the testicle will suffer irreversible ischemic damage and may need to be surgically removed (orchiectomy). Early presentation and prompt surgical intervention are critical for preserving testicular function and fertility.

**免责声明：** 本内容由曼谷医院总院的认证泌尿科医生 Soarawee Weerasopone 医生撰写和审阅。本内容仅用于教育目的，不构成医疗建议。在开始任何医疗治疗前，请务必咨询合格的医疗专业人士。.