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Normal anatomy

The testicles are suspended in the scrotal sac.

Indications

Testicular torsion occurs when the testicle, normally attached to the scrotum by a small ligament at its base, becomes loose. The testicle can then twist on itself, cutting off its flow of blood. Testicular torsion is considered an emergency. Surgery is usually required, and it should be performed within about 5 hours from the onset of symptoms to save the testicle.

Procedure

General anesthesia is used and the patient is deep asleep and pain-free. An incision is made in the scrotum, the testicle is uncoiled, and an absorbable suture is placed to secure the testis from rotating again. The unaffected testicle is also secured by suture because the problem tends to occur on both sides and the unaffected side is at increased risk for torsion at a later date.

Results

After surgery, ice packs are applied to relieve pain and swelling. A scrotal support may have to be worn for a week after surgery. Normal activity may be resumed gradually.

Reviewed By

Review Date: 09/16/2011

Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine. Scott Miller, MD, Urologist in private practice in Atlanta, Georgia. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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Related Questions

What is the medical term for twisting of the spermatic cord?

The medical term for twisting of the spermatic cord is testicular torsion. It is considered a medical emergency because it can result in decreased blood flow to the testicle and lead to tissue damage if not treated promptly. Symptoms include sudden onset of severe testicular pain and swelling.


Does testicular torsion reduces the one's age?

Testicular torsion most commonly occurs in teenagers and young adults. The risk does decrease as the person ages, but this is because testicular torsion usually occurs during exercise and young men tend to exercise more than other age groups.


Is testicular torsion a sports injury?

yes, though it depends in which context


What are the chances of having a testicular torsion twice?

If you have already had it, there is a high chance you are more prone to it and Torsion may happen again


Is it possible a kick to the testicle area can cause testicular torsion?

Ouch! Yes!


What some diseases of the gonads?

There are actually several diseases of the gonads in human males. Some of these are testicular cancers, testicular torsion, hypogonadism, and epididymitis.


What is the prognosis for testicular torsion?

If the torsion is relieved within 24 hours, the testis will recover normal blood flow and function.


Is testicular torsion painful?

Yes, testicular torsion is usually very painful. It is a medical emergency that occurs when the spermatic cord becomes twisted, cutting off blood flow to the testicle. Immediate medical attention is needed to prevent serious damage or loss of the testicle.


When is orchiopexy given to adults?

In adults, orchiopexy is most often done to treat testicular torsion


Why should testicular torsion be treated immediately?

This condition can lead to permanent damage if not treated quickly.


What is the purpose of testicular surgery?

to reposition undescended testes (orchiopexy); to correct testicular torsion ; to treat testicular cancer, which may involve removal of the testicles (castration) or the testes (orchiectomy); to treat traumatic injuries of the testicles; and.


What kind of fracture is produced by torsion?

testicular injury, sometimes a injury may cause the tissue to break.