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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Testicle To Become Smaller And Twisted?

Hi, may I answer your health queries right now ? Please type your query here...sir what problem sthat may occure to human testicle after being kicked ten years ago,the left testical become smaller and twisted,slight pain on the left legs,capable of performing sexual intercorse,am worried i need your advice
Mon, 29 Dec 2014
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General Surgeon,  's  Response
Hi.
Thanks for your query and an elucidate history.

Your history of a kick to the scrotum 10 years ago is self-explanatory.
BY a direct trauma over the testicle, the blood vessels may get blocked , particularly the arterial supply to the testis by pressure of hematoma or spams due to trauma.

Over the time, the fibrosis sets in. Fibrosis shrinks everything . This happens in testis so easily as it is very fragile, blood supply is tricky and comes from a long place near the kidneys, it is very sensitive to temperature variation, usually the temperature of the testis is 2 degree celcius below the normal body temperature.

Since you can have a normal sexual function, at least one most important part of life is fulfilled.

I would advise you the following:
Semen analysis.
Ultrasonography and color doppler of the scrotum.
blood testosterone levels.

Remember there is no way the size of the testis can be improved.
But if all the investigations are normal except the size of the testis, carry on the normal life and stop worrying about it.
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What Causes Testicle To Become Smaller And Twisted?

Hi. Thanks for your query and an elucidate history. Your history of a kick to the scrotum 10 years ago is self-explanatory. BY a direct trauma over the testicle, the blood vessels may get blocked , particularly the arterial supply to the testis by pressure of hematoma or spams due to trauma. Over the time, the fibrosis sets in. Fibrosis shrinks everything . This happens in testis so easily as it is very fragile, blood supply is tricky and comes from a long place near the kidneys, it is very sensitive to temperature variation, usually the temperature of the testis is 2 degree celcius below the normal body temperature. Since you can have a normal sexual function, at least one most important part of life is fulfilled. I would advise you the following: Semen analysis. Ultrasonography and color doppler of the scrotum. blood testosterone levels. Remember there is no way the size of the testis can be improved. But if all the investigations are normal except the size of the testis, carry on the normal life and stop worrying about it.