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goodtoknow says: Torsion of the testis is when a testis twists around in the scrotum. It normally occurs in teenage boys, shortly after puberty. The normal symptom is severe pain that usually starts in the night, and increases rapidly. The affected testis gets tender and swollen. This is a medical emergency and an operation is needed as soon as possible after symptoms begin to treat the pain. The operation is a small one and does not take long.

For a full medical explanation of the causes, symptoms and treatments of torsion of the testis from patient.co.uk, read on.

Understanding the testes

The two testes lie in the scrotum. The spermatic cord is like a flexible tube that goes from each testis to the lower abdomen. The spermatic cord contains the blood vessels that take blood to and from the testis, and the vas deferens which takes sperm from the testis to the penis.

You can normally feel the spermatic cord through the skin of the scrotum just above the testis. It feels like a thick piece of string. The testes can move around a little in the scrotum, but cannot usually move enough to twist round fully.

• Next: What happens in a torsion (twisting) of the testis?

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