Transgender woman, 24, forced to have testicle removed after it twisted from excessively 'tucking' them inside her body

A TRANSGENDER woman was forced to have one of her testicles removed after they became twisted by her "tucking" tendency.

The unidentified 24-year-old, from the Philippines, was left in agony after the mishap when using the genital-concealing method famed by stars of Ru Paul's Drag Race.

The woman had used the tucking technique – involving pushing her testicles back into her stomach – four times a week since she reached adulthood.

She had not yet undergone full gender reassignment surgery.

Despite it often causing her pain and discomfort, she fought through the trauma to continue the practice, which is well-known in both trans and drag circles.

The penis is typically pushed back between and behind a person's legs, so that it is not visible from the front.

Some also push their testicles back, while others opt to move them upwards to rest on the lower part of their abdomen, before securing them in place.

But disaster struck when the female was routinely pulling her testicles back down into her scrotum and one of them twisted around the spermatic cord it hangs from.

Known as testicular torsion, the excruciating incident left the woman in insufferable pain and cut off the blood supply to her genitals.

She sought assistance for her agonising injury at the Brokenshire Integrated Health Ministries in Davao City, where doctors examined her privates to try and figure out the source of her pain.

Medics were informed the Filipino woman regularly tucked her testicles into her inguinal canals, which are delicate passages in the abdomen that protect the sperm cords.


She would usually yank on her scrotum and pull to manipulate her testicles back into position, a practice known as "un-tucking".

Her red and swollen scrotum saw doctors diagnose the young woman with testicular torsion.

After conducting an ultrasound to determine the extent of her injuries, the woman initially requested docs removed both of her testicles.

But after being informed it would leave her unable to have children, she opted to just loose one.

The extensive years of tucking had severely damaged the testicle, but it was successfully removed without any complications.

ASTOUNDING CASE

The astounding case, published in the medical journal the Urology Case Reports, shines a spotlight on the issue of transgender women reluctant to seek medical assistance for testicular discomfort caused by tucking.

The author of the case report, Dr. Clarence Debarbo, explained: "The patient already experienced discomfort and pain for six years because of tucking, which is also the same with other transgenders.

"But they are reluctant to seek medical care for testicular complaints and when they do, it may be already late to salvage the testis," Dr. Debarbo continued.

"Although at younger age, trans women desire to hide their testicles or wish to have gender-affirming surgery, as they grow older many transgender individuals desire to have biological children, thus awareness of the problem should be disseminated for them not to resent in years to come."

Testicular torsion occurs when a testicle rotates and twists the spermatic cord that supplies the blood supply to the scrotum – when it is cut off, it causes severe pain and swelling.

If blood flow is restricted for too long, a testicle can be so badly damaged that it must be removed.

The traumatic debility affects around one in 4,000 males under the age of 25, and can occur at any time – even during sleep.

In 2016, medics in Florida revealed that a 28-year-old was forced to have his testicle removed when it twisted 360 degrees.

Consultant urological surgeon at Dublin's Beacon Hospital, Dr. Fardod O'Kelly, described testicular torsion as a "surgical emergency with a countdown timer".

"In general, there is very little evidence the practice of tucking increases the risk of testicular torsion. 

"The testis is much more at risk of trauma when tucked, as it is resting against the pubic bone as opposed to sitting comfortably in the scrotum," he told the Mail Online.

"Tucking is an individual’s choice, and like all personal decisions, one must weigh up the pros and cons."

It has the potential to cause fertility issues in those who use the method, as the insertion of the testes into the inguinal canal raises the temperature of the sperm, which needs to be cooler than body temperature.

Tucking has become more recognised in recent years as it is regularly discussed and practiced on hit TV show, Ru Paul's Drag Race.

Season 6 star Courtney Act famously revealed her tuck to the world during an unfortunate wardrobe malfunction as she entered the UK Celebrity Big Brother house.

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