The diagnosis of testicular torsion after previously fixed testicles is rare but it should be included in the differential diagnosis of acute scrotum. There have been reported cases of recurrent testicular torsion after the previous [4–14].
Testicular torsion occurs when the testicle rotates on the spermatic cord, which brings blood to the testicle from the abdomen. If the testicle rotates several times, blood flow to it can be entirely blocked, causing damage more quickly.
Sometimes, testicular torsion can cause a sudden pain in the testicle that goes away without treatment. This is because the testicle twists and then untwists on its own. If this happens, see a doctor as soon as possible. You might be advised that surgery is needed to prevent it happening again.
Based on this study combined with prior animal research, it appears that somewhere between 360–540° of twisting during testicular torsion lies the point where significant occlusion to arterial flow occurs with risk of damage to the testicle.
Bilateral testicular torsion is a rare condition with majority of cases occurring in neonates.
Rare differential diagnoses of acute scrotal pain are susceptible to misinterpretation as testicular torsion or acute epididymo-orchitis. Surgical management is indicated in case of suspicion for torsion or tumor.
If your son has testicular torsion, he'll feel a sudden, possibly severe pain in his scrotum and one of his testicles. The pain can get worse or ease a bit, but probably won't go away completely. If your son has sudden groin pain, get him to a hospital emergency room as soon as you can.
Recurrent testicular torsion after previous orchiopexy is rare but should be included in the differential diagnosis of acute scrotum. Testicular fixation with nonabsorbable suture and in at least two points can help to prevent recurrent torsion.
You'll feel a sudden, possibly severe pain in your scrotum and one of your testicles. The pain might increase and decrease but generally won't go away completely. Other symptoms include: swelling, especially on one side of the scrotum.
This condition is a surgical emergency. The testicle can survive for only about six to eight hours without any blood flowing to it. After that, the tissues are damaged and the testicle no longer works. Testicular torsion can happen at any age.
It has an estimated incidence of 4.5 cases per 100,000 per year [1,2]. It is common among young males presenting with scrotal pain of sudden onset [3-5]. Testicular torsion occurs when the testis twists around the spermatic cord, resulting in compromised blood flow to the testis [6].
With torsion of the left testis, hold the testicle with the right thumb and forefinger and then rotate the testicle clockwise 180 degrees. This manipulation may need to be repeated 2-3 times, because testicular torsion may involve rotations of 180-720 degrees.
No, testicular torsion can't fix itself. If you don't get surgery within six hours, a surgeon will likely need to remove your affected testicle. Newborns with testicular torsion often lose their testicle.
The most common sign of testicular torsion is sudden, severe pain on one side of the scrotum. The testes should be about the same size. If one side quickly becomes larger than the other, this can be a problem. Change in scrotum color, especially redness or darkening, is also a problem.
Testicular torsion is a medical emergency — it occurs when blood flow to the testicle stops, causing sudden and often severe pain and swelling. Testicular torsion is most common during adolescence and the first year of life. The resulting loss of blood flow can lead to the death of the testicle and surrounding tissues.
It is important to emphasize that testicular torsion is a MEDICAL EMERGENCY. The testicle will die (infarct) and diminish in size (atrophy) if the blood supply is not restored within approximately six hours. Restoration of the blood supply requires untwisting the cord (de-torsion).
Red flags. The following findings are of particular concern: Sudden onset of pain; exquisite tenderness; and a high-riding, horizontally displaced testis (testicular torsion.
A 2021 case study highlights that someone can have testicular torsion without severe pain. Most people experience swelling in the scrotum and testes, but this may not be immediately obvious. Some people only feel pain intermittently, while others find it excruciating.
Sudden, severe testicle pain needs immediate medical care. Contact your provider right away or go to an emergency room if: Your pain is severe or sudden. You have had an injury or trauma to the scrotum, and you still have pain or swelling after 1 hour.
Testicular pain can be caused by sudden injury, inflammation, sexually transmitted infections or an emergency condition called testicular torsion (twisting). This condition can cause a dull ache in the scrotum, sometimes along with swelling.
An overactive muscle causes a testicle to become a retractile testicle. The cremaster muscle is a thin pouch-like muscle in which a testicle rests. When the cremaster muscle contracts, it pulls the testicle up toward the body.
Calcifications: These are small structures in the testicle or along the main sperm pipeline (vas) can become hard, almost rock like. These are always painless and rarely need to be removed.