Description
Twisting of the testicle in the scrotum. The testicles are suspended from the spermatic cords. These cords supply the nerves and blood vessels to the testicles. Normally the testicles are attached to the sides of the scrotum preventing twisting. At times these attachments are not present allowing the testicle to twist in the scrotum causing the vessels in the spermatic cord to become blocked. If the twisting is not relieved the testicle can die. It is most common in adolescents (12 to 20 years), but can affect all ages.
Symptoms
Sudden onset of severe pain in one testicle, occasionally one or previous episodes have occurred, unilateral scrotal swelling, scrotal tenderness.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. The diagnosis is confirmed by ultrasound.
Tests:
Complete blood count (CBC), Comprehensive metabolic panel (CMP), Ultrasound
Other Specific Tests: Radionucleotide scan of testicle
Specialists:
Urology
Workup:
A history and physical exam will be performed. The diagnosis is confirmed by ultrasound.
Tests:
Complete blood count (CBC), Comprehensive metabolic panel (CMP), Ultrasound
Other Specific Tests: Radionucleotide scan of testicle
Specialists:
Urology
Treatment
Surgery is required and should be performed as soon as possible. Usually if the testicle is untwisted within 6 hours it can be saved. Many times the unaffected testicle will be attached to the scrotum to prevent future torsion of the healthy testicle.