Does testicular torsion affect fertility?

The most serious part of the body affected by testicular torsion is the spermatic cord, which can occur in adults and infants. When sulfate reaches the testicle, testicular necrosis occurs, which leads to testicular removal and male infertility. After the torsion occurs, it must not be delayed. Active measures to treat it can avoid loss of testicular function. If the torsion is not treated in time after the onset of the disease, the testicle will be ischemic for a long time, which will lead to the destruction of the testicular spermatogenesis function, further testicular atrophy and male infertility.

Testicular retroversion, also known as testicular torsion, is caused by the strong contraction of the spirally attached spermatic cord muscle during strenuous exercise or violent injury to the scrotum, which leads to torsion and acute blood circulation disorder of the testicle. It is not uncommon in clinical practice and often occurs in cases of congenitally long mesentery, dysplastic gubernaculum testis, cryptorchidism, incomplete testicular descent, incomplete connection between epididymis and testicle, excessive activity of epididymis and part of spermatic cord, and excessive spermatic cord. There are two types: intrathecal type and extrathecal type. The direction of testicular retroversion is mostly from outside to inside.

Some fetuses will have one or both sides of the mesentery too long during development. After birth, the testicles and spermatic cord are very mobile. In case of sudden force or violent vibration, the testicles and spermatic cord will twist more than 360 degrees. During puberty, the blood circulation of the reproductive organs accelerates, causing slight varicose veins in the spermatic cord, inducing the testicles to "turn". Excessive exercise in boys leading to excessive testicular activity, improper masturbation techniques leading to strong congestion and contraction of the levator testis, etc. may all be the causes of this disease.

The mechanism of testicular injury caused by torsion is easy to understand. Circulatory obstruction and venous obstruction lead to testicular congestion and swelling. If delayed, venous thrombosis will form, and finally arterial embolism will lead to tissue necrosis. The extent of testicular damage is related to two factors, namely the extent of torsion and the duration of torsion. In 1961, Sonde and Lapides proved in animal experiments that complete rotation of the spermatic cord for 4 weeks and 2 hours (the same below) can produce irreversible changes in testicular tissue, while rotation for 1 week, 12 hours or longer will not have adverse effects on the testicles.

Through the above introduction, it can be found that timely measures can restore fertility after testicular torsion occurs. The best time to take measures is within 12 hours after torsion occurs. Children with testicular torsion will show irritability, anorexia or vomiting, and dark scrotal skin. At this time, parents should carefully observe the child's body and send the child to the doctor immediately if they find any abnormalities.