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Do I have to go to the hospital immediately in case of testicular torsion?

Dear Doctor,

My name is Wolfgang Ratzberg and I have a question regarding a possible testicular torsion. For several hours now, I have been experiencing severe pain in the area of my scrotum that simply will not go away. Additionally, I have noticed that my testicle feels unusually twisted and has shifted position from its normal state.

I am really worried that this could be a testicular torsion, as I have already heard about this serious condition. I have read that testicular torsion is a medical emergency and immediate treatment is necessary to avoid permanent damage.

My question to you is therefore: Do I need to go to the hospital immediately if I have a testicular torsion? Are there possibly other conditions or situations that could cause similar symptoms to a testicular torsion? If it is indeed a testicular torsion, what treatment options are available to me and how quickly should I act to achieve the best possible results?

Thank you in advance for your time and expertise, and I look forward to your response.

Sincerely,
Wolfgang Ratzberg

Luisa Ehrig

Dear Mr. Ratzberg,

Thank you for your message and your trust in my expertise as a urologist. I am sorry to hear that you are experiencing severe pain in the area of your scrotum and are concerned about a possible testicular torsion. Testicular torsion is indeed a serious medical emergency that requires immediate attention.

In testicular torsion, the testicle twists and the blood supply is cut off, leading to acute pain and swelling. It is important to emphasize that untreated testicular torsion can cause permanent damage to the testicle, including infertility. Therefore, it is crucial to seek medical help immediately if testicular torsion is suspected.

Other conditions or diseases that can cause similar symptoms to testicular torsion include epididymitis or a hernia. These conditions can also cause severe pain in the testicular area and should be evaluated by a doctor. However, it is important not to ignore testicular torsion, as it is very serious and requires prompt treatment.

In the case of testicular torsion, the best treatment option is surgery to untwist the testicle and restore blood flow. The sooner this operation is performed, the better the chances of saving the testicle and avoiding permanent damage. Therefore, it is essential to go to the hospital immediately if testicular torsion is suspected.

I strongly advise you to seek medical help immediately to receive an accurate diagnosis and start the necessary treatment. Please do not hesitate to call emergency services or go directly to the emergency room of a hospital in case of an emergency.

I hope that my response was helpful to you and I am available for any further questions. Please do not hesitate to seek medical help promptly and do not leave the symptoms untreated.

Best regards,
Luisa Ehrig, Urologist

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