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EP221: ‘Twisted’ fate of manhood | PUTTING DR G ON THE SPOT
The Star
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5/5/2024
Consultant urologist Dr George Lee Eng Geap, or a.k.a Dr G, explains the possible cause of pain in men's scrotum, saying that it's a condition called testicular torsion.
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Transcript
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00:00
For the whole month we're going to focus on various testicular condition and see how's that's going to affect your sex life or not
00:08
From the very beginning we're going to talk about a condition called testicular torsion
00:19
In fact testicular torsion is a congenital condition
00:23
It's probably because the actual testicle and its suspensory
00:29
Spermatic cord, it's a bit too long and so it's like a bell clapper
00:34
Situation when it's too long it occasionally get twisted and the twist itself will
00:40
Stop any blood flow to the testicle and cause an emergency situation called testicular torsion
00:48
Testicular torsion tends to happen to late teenager and early adulthood
00:53
So we're talking about between 16 to about 28
00:57
So for this group of men perhaps they started having their sexual debut or started having practices such as masturbation
01:05
They will have a guilt conscience to see whether those practices
01:09
Excessive amount of that is resulting in testicular torsion. In fact, the answer is no
01:15
There is no association with sexual activity at all by far
01:20
The most common way of presentation actually is when somebody is sitting down doing nothing
01:26
Spontaneously the testicle get twisted or sometimes in a sporting field such as playing rugby, football and suddenly
01:34
Excessive amount of pain will warrant a player go to the sidewalk and the coach usually will worry about testicular torsion
01:42
If a condition like this happen, don't panic
01:46
The worst thing will do is that you actually get someone else to untwist it for you
01:51
Because remember there's a 50-50% chance that you might twist it in the right direction
01:56
That might save you or 50% of chance you twist it in the wrong direction and that will kill the testicle itself
02:03
For most people the pain is so intense that they will go to the hospital
02:08
Once they're in hospital, the doctors will make the diagnosis clinically and do an operation called orchidopexy
02:15
Basically, it's untwist the testicle and fix the testicle at the same time so that it won't get twisted again
02:23
however
02:24
Luckily for many men when they turn up to accident emergency the testicle itself untwist itself and with many many years to come
02:32
That intermittent torsion kind of disappeared
02:36
Worryingly is that if the torsion continue to happen if it happens more than six hours
02:42
Then the chances of survival of this testicle is significantly reduced if it goes on for more than 24 hours
02:49
There's practically no chance and that testicle needs to be removed and you have one less ball to deal with for the rest of your life
02:58
For the following week. We're going to talk about how
03:02
varicocele, i.e. the varicose vein of the testicle is going to affect someone's sex life
03:09
Generally, we know it affects the reproductive health, but will it stop you from enjoying your sexual experience?
03:16
You stay tuned for next week's putting Dr. G on the spot
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