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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes sudden pain in the testicles in a 16 year old?

my 16 year old son had sudden severe pain in his right testicle yesterday. A friend took him to urgent care where they thought torsion. After the exam and manipulation he felt a bit better and the swelling went down by half. At the ER the MD did very little exam. He ordered an untrasound which showed inflammation. Today, 24 hours later he was still complaining and finally showed me his testicle. It was swollen and a lot higher than the other one. He also complained about pain in his lower right abdomen. I held the testicle in my hand (softly) and twisted it outwards. Immediately the pain was gone and the testicle was in its right place. Do you think he had a partial torsion, what should we do for follow-up?
Wed, 4 Jul 2018
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General & Family Physician 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

Yes these are the classical symptoms of testicular torsion where there is severe pain in one testis and on examination one testis is higher than other and lying horizontally. I would recommend you to get his scrotal doppler ultrasound done to look for the testicular veins and testicular blood flow and after that if there is still good blood flow in the testis then get that testis operated where the surgeon will fix the testis to scrotum so that the testis will not get torsion again other wise this condition can recur and may lead to severe damage to testis due to obstruction on blood flow.

Hope I have answered your query. Let me know if I can assist you further.
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