How to prevent testicular torsion

Preventing testicular torsion can be achieved by avoiding strenuous exercise, keeping warm, timely treatment of urinary system infections, avoiding long-term straddle sports, and regular physical examinations. Testicular torsion may be related to congenital anatomical abnormalities, strenuous exercise, cold stimulation and other factors. It usually presents with symptoms such as sudden severe pain and swelling in the scrotum.

1. Avoid strenuous exercise

Strenuous exercise may cause cremaster muscle spasm and increase the chance of testicular torsion. It is recommended to choose low-impact sports such as swimming and jogging, and to warm up thoroughly before exercise. If you experience scrotal swelling after exercise, you should stop the activity immediately and observe. Patients with congenital testicular mesentery need to be more cautious.

2. Keep warm

Cold stimulation causes scrotal muscle contraction and may induce torsion. Wear thermal underwear in winter and avoid cold baths. Use a soft pad to elevate the scrotum during sleep to promote blood return. People who experience repeated scrotal contraction pain are advised to seek medical attention to check for hidden problems such as cryptorchidism.

3. Treat urinary infections

Urinary tract infection may cause spermatic cord edema, increasing the risk of torsion. When symptoms such as frequent urination and painful urination occur, you can use antibiotics such as levofloxacin tablets and cefixime granules as directed by your doctor. During treatment, avoid holding in your urine and drink more than 2000 ml of water every day.

4. Reduce straddling movements

Cycling for long periods of time or in a straddle position can put pressure on the testicles. It is recommended to use a wide seat cushion when cycling and stand and rest every 30 minutes. When teenagers engage in martial arts, gymnastics and other sports, parents need to pay attention to their complaints of scrotal discomfort. People with a history of cryptorchidism should avoid equestrian sports.

5. Regular physical examination and screening

It is recommended that adolescent males undergo scrotal ultrasound examination every year to check for abnormalities such as excessive testicular mesentery. When physical examination reveals cryptorchidism or varicocele, prophylactic orchiopexy may be considered. During the physical examination, you need to proactively inform the doctor of your family history of testicular torsion.

Wear loose cotton underwear every day to avoid compression, and sleep on your back to reduce pressure on the scrotum. When sudden scrotal pain does not subside for more than 1 hour, emergency treatment is required within 6 hours to avoid testicular necrosis. Parents of adolescent patients need to educate them to recognize early symptoms and avoid delaying treatment due to shyness. Maintaining a regular sleep schedule and moderate exercise can help maintain a healthy reproductive system.