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Hi, im 15 and after biking yesterday for about two hours i noticed something. My testicle looked like it rotated. It was in a weird position, so i was scared. It was not swollen, and not painful, but today its still in that akward postion and when i touch it, it has a shock pain. Is there any way this is torsion? For it to be torsion shouldnt it be swollen and hurt constantly? I have no trouble doing anything it just bothers me

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Hi Guest,

If it was testicular torsion you would likely be in extreme pain, as in unable to walk/stand.

Likely the muscles that support your testicles underwent some trauma do to your bike ride.  They should recover in a few days.

Without an exam we can only guess.  See your doctor is symptoms increase.

 

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One in every 8 males has no gubernaculum ligament in the bottom of the scrotum to attach the testicles and prevent rotation and the testicles leaving the scrotum when extra retracted upward. It sounds like your testicle has rotated inside your scrotum. The epididymas is the thick tubing running along the center back of each testicle from top to bottom and it attaches where your spermatic cords attach to the upper back of each testicle to suspend them inside your scrotum. Check if the epididymas tubing attached to each testicle is facing the back of your testicle or the front of your testcile. The epididymas should be facing the back or felt on the back side of your testicle to be in the normal position. It might need to be manually detorsioned by hand by a Dr. if it will not rotate back into the normal position on its own. You can try heat such as a hot water bottle laid directly on both testis to overheat your testicles and get them to relax and hang extra low in your scrotum (like on hot days) to see if that will get the testicle to untangle and rotate back to normal as it drops down relaxed into your scrotum. Testicular torsion in very mild twisting can be less painful or just numb feeling instead of intense pain until the testicle cord twists up even further and and tighter to get more painful as more blood flow is cut off to the testicle. If you can't get your testicle to rotate back into position by itself with heat, you can very gently and slowly try manual detorsion by yourself to get the epididymas facing the back again by turning your testicle very slowly and gently 180 degrees in one way OR the other and see which direction feels more normal and less wrong hanging and feeling to you. It hard to tell which way to rotate your testicle to untwist it, so its far better to have a dr. do it. Please post here again and let us know how it is going. Testicular torsion can get so tight it can cut off all blood flow to the testicles and kill them after 2 to 6 hours or longer depnding on how tightly the spermatic cords twist up and how much of the total blood flow is cut off by twisting the cords shut. Go straight to an emergency room ASAP if you think you have twsited up testicle cords and get an ultrasound (an echo type xray of your scrotum and testicles that is fast, painless, inexpensive, and shows blood flow and all interior organs inside the scrotum) to check for blood flow inside both testicles. Tight testicular torsion requires emergency surgery to save the testicle from dying from lack of blood flow. The surgery is called an orchiopexy. This surgery opens the scrotum to untwist the spermatic cords and then the testicles are sewn directly to the inner sides and bottom of the scrotum sack's skin after being untwtisted. This prevents the testicles from rotating and twisting up into testicualr torsion again for life. The sutures stay in the testicles to keep the testis sewn to the inner and bottom of the scrotum for life.

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