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Testicular Torsion

Testicular Torsion

This is a condition that results when testicle rotates leading to twisting of spermatic cord, occluding the blood supply to scrotum. This occlusion of blood flow leads to sudden and severe pain and swelling. This condition occur most commonly between 12 to 18 years of age but it can even occur before birth.

Symptoms

Patient with testicular torsion presents with following signs and symptoms:Testicular Torsion Symptoms Causes Treatment

  • Acute, intense pain in the scrotum
  • Scrotal swelling
  • Pain in abdomen
  • Increase urination
  • Vomiting and nausea
  • Fever
  • Young boys usually wake up due to scrotal pain in the middle of night or early in morning
  • Higher positioned testicle or testicle at abnormal position
Causes

Testicular torsion results when there’s rotation of testicle on spermatic cord. This leads to occlusion of blood from the abdomen into the testicle. Sometimes, testicle rotates several times leading to complete blood block causing quick damage. In some cases, testicular torsion occur after vigorous exercise, in sleeping or after minor injury to testicle. Some factors which play role in the testicular torsion are cold temperatures and rapid growth of the testicle during puberty.

Complications
  • Death of testicle
  • Infertility
Diagnosis

Diagnosis of this condition depends upon detailed medical history and complete general physical examination of the patient. Other tests include:

  • Reflex test by lightly rubbing or pinching the inside of thigh on the affected side.
  • Urine test
  • Scrotal ultrasound
  • Sometimes surgery is needed to rule out the cause of scrotal pain
Treatment

Treatment options for testicular torsion include:

  • Manual detorsion
  • Surgery under general anesthesia as soon as possible
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