Testicular torsion: Difference between revisions
CSV import |
CSV import Tags: mobile edit mobile web edit |
||
| (One intermediate revision by the same user not shown) | |||
| Line 1: | Line 1: | ||
{{SI}} | |||
{{Infobox medical condition | |||
| name = Testicular torsion | |||
| image = [[File:Illu_testis_surface.jpg|250px]] | |||
| caption = Diagram of the male reproductive system, including the testis | |||
| field = [[Urology]] | |||
| synonyms = Twisted testicle | |||
| symptoms = [[Sudden onset]] of severe [[testicular pain]], [[swelling]] of the [[scrotum]], [[nausea]], [[vomiting]] | |||
| complications = [[Infertility]], [[testicular necrosis]] | |||
| onset = [[Puberty]] | |||
| duration = Variable | |||
| causes = [[Bell clapper deformity]], trauma, [[exercise]] | |||
| risks = [[Adolescence]], [[family history]] | |||
| diagnosis = [[Physical examination]], [[ultrasound]] with [[Doppler]] | |||
| differential = [[Epididymitis]], [[orchitis]], [[inguinal hernia]] | |||
| prevention = None | |||
| treatment = [[Surgical intervention]] (detorsion and fixation) | |||
| medication = [[Analgesics]] for pain | |||
| prognosis = Good if treated within 6 hours | |||
| frequency = 1 in 4,000 males under 25 per year | |||
}} | |||
[[File:Torsion_teste_aguda_(cropped).jpg|Testicular torsion|thumb|left]] | |||
'''Testicular torsion''' is a medical condition that involves the twisting of the [[spermatic cord]], which causes a decrease in the blood flow to the [[testicle]]. It is a medical emergency that, if left untreated, can result in the loss of the testicle. | '''Testicular torsion''' is a medical condition that involves the twisting of the [[spermatic cord]], which causes a decrease in the blood flow to the [[testicle]]. It is a medical emergency that, if left untreated, can result in the loss of the testicle. | ||
== Causes == | == Causes == | ||
Testicular torsion is caused by the rotation of the testicle and spermatic cord. This can occur spontaneously or may be associated with physical activity. Some men may have an inherited trait that allows the testicle to rotate freely inside the [[scrotum]], increasing the risk of testicular torsion. | Testicular torsion is caused by the rotation of the testicle and spermatic cord. This can occur spontaneously or may be associated with physical activity. Some men may have an inherited trait that allows the testicle to rotate freely inside the [[scrotum]], increasing the risk of testicular torsion. | ||
== Symptoms == | == Symptoms == | ||
The most common symptoms of testicular torsion include sudden, severe pain in the scrotum, swelling of the scrotum, abdominal pain, nausea and vomiting. Some men may also experience fever and urinary frequency. | The most common symptoms of testicular torsion include sudden, severe pain in the scrotum, swelling of the scrotum, abdominal pain, nausea and vomiting. Some men may also experience fever and urinary frequency. | ||
== Diagnosis == | == Diagnosis == | ||
The diagnosis of testicular torsion is typically made based on the patient's symptoms and physical examination. An [[ultrasound]] of the scrotum may be performed to confirm the diagnosis. In some cases, surgery may be required to confirm the diagnosis and to correct the torsion. | The diagnosis of testicular torsion is typically made based on the patient's symptoms and physical examination. An [[ultrasound]] of the scrotum may be performed to confirm the diagnosis. In some cases, surgery may be required to confirm the diagnosis and to correct the torsion. | ||
== Treatment == | == Treatment == | ||
The treatment for testicular torsion is surgery to untwist the spermatic cord and to secure the testicle in place to prevent future torsion. This surgery is typically performed as an emergency procedure. If the blood flow to the testicle is not restored within a few hours, the testicle may need to be removed. | The treatment for testicular torsion is surgery to untwist the spermatic cord and to secure the testicle in place to prevent future torsion. This surgery is typically performed as an emergency procedure. If the blood flow to the testicle is not restored within a few hours, the testicle may need to be removed. | ||
== Prognosis == | == Prognosis == | ||
The prognosis for testicular torsion depends on how quickly treatment is received. If treatment is received within a few hours of the onset of symptoms, the testicle can usually be saved. However, if treatment is delayed, the testicle may need to be removed. | The prognosis for testicular torsion depends on how quickly treatment is received. If treatment is received within a few hours of the onset of symptoms, the testicle can usually be saved. However, if treatment is delayed, the testicle may need to be removed. | ||
== See also == | == See also == | ||
* [[Orchitis]] | * [[Orchitis]] | ||
* [[Epididymitis]] | * [[Epididymitis]] | ||
* [[Scrotal ultrasound]] | * [[Scrotal ultrasound]] | ||
[[Category:Medical emergencies]] | [[Category:Medical emergencies]] | ||
[[Category:Urological conditions]] | [[Category:Urological conditions]] | ||
[[Category:Testicle disorders]] | [[Category:Testicle disorders]] | ||
{{stub}} | {{stub}} | ||
Latest revision as of 06:49, 6 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Testicular torsion | |
|---|---|
| |
| Synonyms | Twisted testicle |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Sudden onset of severe testicular pain, swelling of the scrotum, nausea, vomiting |
| Complications | Infertility, testicular necrosis |
| Onset | Puberty |
| Duration | Variable |
| Types | N/A |
| Causes | Bell clapper deformity, trauma, exercise |
| Risks | Adolescence, family history |
| Diagnosis | Physical examination, ultrasound with Doppler |
| Differential diagnosis | Epididymitis, orchitis, inguinal hernia |
| Prevention | None |
| Treatment | Surgical intervention (detorsion and fixation) |
| Medication | Analgesics for pain |
| Prognosis | Good if treated within 6 hours |
| Frequency | 1 in 4,000 males under 25 per year |
| Deaths | N/A |
.jpg)
Testicular torsion is a medical condition that involves the twisting of the spermatic cord, which causes a decrease in the blood flow to the testicle. It is a medical emergency that, if left untreated, can result in the loss of the testicle.
Causes[edit]
Testicular torsion is caused by the rotation of the testicle and spermatic cord. This can occur spontaneously or may be associated with physical activity. Some men may have an inherited trait that allows the testicle to rotate freely inside the scrotum, increasing the risk of testicular torsion.
Symptoms[edit]
The most common symptoms of testicular torsion include sudden, severe pain in the scrotum, swelling of the scrotum, abdominal pain, nausea and vomiting. Some men may also experience fever and urinary frequency.
Diagnosis[edit]
The diagnosis of testicular torsion is typically made based on the patient's symptoms and physical examination. An ultrasound of the scrotum may be performed to confirm the diagnosis. In some cases, surgery may be required to confirm the diagnosis and to correct the torsion.
Treatment[edit]
The treatment for testicular torsion is surgery to untwist the spermatic cord and to secure the testicle in place to prevent future torsion. This surgery is typically performed as an emergency procedure. If the blood flow to the testicle is not restored within a few hours, the testicle may need to be removed.
Prognosis[edit]
The prognosis for testicular torsion depends on how quickly treatment is received. If treatment is received within a few hours of the onset of symptoms, the testicle can usually be saved. However, if treatment is delayed, the testicle may need to be removed.
