Testicular Torsion

Testicular torsion involves the restriction of blood supply to the testicles. If you or someone you know has suffered testicular torsion and diagnosis or treatment was delayed, leading to further complications, you may be in a position to make a claim for compensation. The team at JMW is experienced in claims of this type and can help you secure the compensation to which you are entitled.

To contact our team of specialists today and find out more about how we can help, call us for free on 0800 054 6512 or complete our online enquiry form and we will get back to you as soon as we can. We can provide a free initial assessment of your claim and advise you on what to do next. 

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Testicular Torsion Explained

Testicular torsion is a very painful condition that has a sudden onset. The blood supply to the testicles is cut off as a result of the testicle twisting, which can be caused by strenuous exercise. This results in the spermatic cord - the cord that supplies blood to the testicles - becoming badly twisted.

The injury primarily affects adolescent boys and infants and is most common between the ages of 12 and 16. However, it can happen at any age. It can even occur before birth while the baby is in the womb. It is considered a medical emergency and you should contact your GP or visit an accident and emergency room as quickly as possible if you suspect you have it.

If testicular torsion is identified appropriately and surgery is undertaken quickly enough it is usually possible to save the affected testicle. However, if there is a delay in diagnosis or in providing treatment, it can mean that by the time surgery takes place the testis has become necrotic (dead tissue) and the patient will require an orchidectomy (removal of testicle).

Symptoms

Signs that you may be suffering from testicular torsion can include:

  • Severe pain in one of the testicles
  • Nausea and vomiting
  • The scrotum becoming swollen
  • Pain in the abdomen

Causes

Strenuous exercise is one of the main causes of testicular torsion. However, in many cases it can happen for no apparent reason.

Those at greater risk, however, can include boys born with an abnormally loose spermatic cord, and the condition can develop following injury to the testicles. You may also be at greater risk if you have a history of undescended testicles, which is when both testicles are not in the scrotum at the time of birth.

Failure to Diagnose

A failure to diagnose, or a misdiagnosis of, testicular torsion can have a huge impact on your life, potentially leading to long-term disability that may also affect fertility.

Expert legal advice and the opportunity to secure compensation is therefore extremely important, as this can ultimately lead to a significant improvement to your quality of life.

Why Choose JMW?

Our team of friendly clinical negligence experts will provide easy-to-understand advice on how to launch a compensation claim. We appreciate that cases of this nature can be very sensitive, but we are here to guide you throughout the process and we always take a sympathetic, proactive approach to the cases we take on.

Headed by leading solicitor Eddie Jones, our team is among the most highly regarded in the UK. It includes members of the Law Society's specialist panel for clinical negligence the Action against Medical Accidents (AvMA) solicitors' panel. 

Case Studies

  1. Failure to Diagnose Testicular Torsion. Compensation: £13,000

    Sam was referred by his GP to a Consultant Urological Surgeon as he was complaining of a painful left testis. The Surgeon who examined him arranged for an ultrasound scan. Following the ultrasound scan, it was found that Sam had a normal testis, and there was no indication of torsion.

    For eleven months following discharge from hospital, Sam was well with no further testicular symptoms. However one day whilst driving home from work, a journey of approximately 20 minutes, Sam's left testicle swelled, to what he described as "an enormous proportion", and the pain was "excruciating".

    Sent home from A&E

    Sam arrived home and described his symptoms to his mother, who drove him immediately to the A&E. He was ‘in agony’ and given pain relief. Two hours after admission Sam was examined by a doctor and informed that he would need a scan, and he would be guaranteed an appointment within the next 2 weeks. Sam was then discharged home with painkillers and a prescription for antibiotics.

    No referral sent

    Two days later, having heard nothing from the hospital, Sam rang the scanning department. They had not received any referral letter, and Sam was invited to ring back. He rang two days later and again was informed that no referral had been received.

    Sam arranged an appointment with a private Consultant Urologist. He was seen within six days. The Urologist arrived at a diagnosis of a possible missed torsion. Sam underwent excision of the left testicle and fixing of the right testicle. Due to the risk of haematoma and extrusion, a decision was taken at the time not to insert a prosthetic testicle.

    How we helped

    JMW Solicitors alleged that a presumptive diagnosis of torsion should have been made and referral to the on-call surgical team, or the A&E Consultant made. Prompt surgery would have prevented irreversible testicular damage and on the balance of probabilities, the torsion would have been corrected by manipulation with preservation of the testis.

    Settlement 

    Sam accepted £13,000 compensation of which approximately £2,500 was for the future medical cost of inserting a prosthetic testis.

  2. Failure to Spot Testicular Torsion. Compensation: £40,000

    Nineteen-year-old Alan awoke in the middle of the night with severe pain in his abdomen and right testicle.

    He attended the out-of-hours clinic where a diagnosis of inflamed, and possibly infected, testicle (orchitis) was made.  He was given painkillers and antibiotics.

    3 days later Alan went to the A&E department as the pain and swelling in his testicle was getting worse.

    An ultrasound scan was performed and a diagnosis of torsion (twisting) of the testicle was made. Alan was told that as the blood supply to the testicle had been cut off for so long the testicle had “died” and would have to be removed.

    Negligence

    Alan claimed that the doctor should have suspected a torsion of the testicle when he was first seen and referred him for an urgent surgical opinion. If this had been done there is a good chance that the testicle could have been saved with emergency surgery.

    Settlement

    The case was settled by JMW Solicitors for £40,000.

  3. Lack of Adequate Care Leads to Young Man Losing Testicle. Compensation: £50,000

    When Jim noticed a swelling in his left testicle he immediately contacted his GP who noted a large collection of enlarged veins in the scrotum lying immediately behind the testicle. He was referred to a urologist and some weeks later underwent surgery to tie off the engorged veins

    Jim was discharged the following day but once at home the swelling steadily increased.

    Sent home from A&E three times

    After some days he rang the A&E department and was reassured that this degree of swelling was not unusual. However, the swelling continued to increase both in size and tenderness and when blisters appeared on the scrotum Jim attended the A&E department where an infected haematoma (collection of blood) was diagnosed.

    An ultrasound scan showed a small left testicle and suggested a possible compression of the blood supply to the testicle. No action was taken.

    Consequences

    Over the next 10 days Jim attended A&E and his GP on a number of occasions with scrotal swelling, pain and discharge and eventually another ultrasound scan was performed, which showed that the left testicle had died. The testicle was then removed.

    The claim for negligence

    Had Jim been reviewed in hospital when he first telephoned for advice, or had the testicle been explored on any of the three occasions when he subsequently attended A&E it would have probably been possible to save the testicle.

    Jim cannot wear a testicular prosthesis because of the degree of scar tissue in the scrotum.

    Settlement

    The defendant hospital admitted a breach of duty in providing adequate care and the case was settled by Angharad Hughes, one of JMW’s expert solicitors for £50,000.

Talk to Us

To discuss your testicular torsion claim with a member of the team today, simply call us on 0800 054 6512 or complete our online enquiry form, which will enable us to give you a call back. We are always happy to help in any way we can, so please do not hesitate to get in touch. 



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