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bell clapper, torsion, infertility

Post a new topicby Dre 07 on Tue Oct 09, 2007 11:52 pm

Hi, I am a 24 year old male in search of some reliable information. Sparked by some lower abdominal pain and my recollection of a surgery I had when I was 14 (operated on vas deferens, had fluid/bulge on ductus, epididymis, and testes), I started researching the internet, and it lead me to a series of questions with contradicting or unclear answers.
I learned about "bell clapper deformity" and I think I have it. Both my testicles lie much more horizontally when loose (long axis perpendicular to gravity) than vertically. Only one source has said the normal position is horizontal. The sources are also unclear/conflicting as to whether this horizontal position results from testicular torsion, with the bell clapper deformity only being a factor in increasing chances of torsion, or if the position results directly from the deformity with no torsion possibly happening. Around the age of my surgery I woke up one morning with a sharp pain in my testes, and if I remember correctly one testis was in an abnormal position. I tried to fix this, and the pain seemed to disappear (I didnt have pain all day, suggestive of torsion when no action is taken?). Basically, what I would REALLY like to know is if you can tell for sure I had torsion at some point, and what that means for my fertility.
Im also in doubt of my fertility due to my sparse facial and chest hair. I am predominantly white and grow hair in my chin and upper lip (thickness ok, very low density), though almost none in my cheeks. I have feared this to be due to low testosterone levels, though I think I have built muscle rather easily, despite not going to the gym often nor taking dietary supplements.
Also, if torsion did occur, and my testes are necrotic, would they still be able to produce testosterone? How about staying in my body w/o causing other health problems?
I would appreciate your input, as these questions have been plaguing my mind.
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Dre 07
 
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Re: bell clapper, torsion, infertility

Post a new topicby UroDoc on Wed Oct 10, 2007 9:51 am

from your description it does sound like you have bell clapper anatomy which puts you at higher risk for torsion. If both of your testicles had died you would have very little if any testosterone. A doppler flow ultrasound test would tell you if you have normal blood flow to your tesicles
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