A retrospective study of case records from the years 20042008 of children with testicular torsion is presented. Testis viability is very low, however there are cases that after an early diagnosis and detorsion, orchiectomy was not necessary. The most common symptom of testicular torsion is a sudden pain in the scrotum. Sudden, severe pain in the scrotum the loose bag of skin under your penis that contains the testicles. Etiology and pathophysiology of testicular torsion causes of testicular torsion. Testicular vascularity can look symmetrical with the contralateral asymptomatic side with preserved arterial and venous flow and still represent testicular torsion. Testicular torsion is a twisting of the testicle which can restrict blood flow to the testicle. The testicle has attachments that hold it in place in the scrotum.
Revista urologia colombiana colombian urology journal vol. Testicular torsion is defined as the torsion of the spermatic cord structures. It could be either within or outside the tunica vaginalis. Testicular torsion occurs mainly in two different age. When this happens there is a loss of blood supply to the ipsilateral testicle 1. Testicular torsion causes immediate circulatory changes and.
Torsion testicular aguda y orquiectomia articulo original medigraphic. The pain is usually on one side, but it can spread and be felt in the groin, abdomen, and flank the area between the ribs and hip. The presence of intratesticular flow does not exclude testicular torsion. Testicular torsion is the most common cause of acute scrotal pain in the prepuberal and adolescent boys and should be foremost in the minds of primary care physicians evaluating these children. Testicular torsion is a twisting of the spermatic cord and its contents and is a surgical emergency affecting 3. Testicular torsion is most frequent in children before the second year of life and adolescents between 1520 years of age. Guia clinica sobre urologia pediatrica european association of. Testicular torsion may occur in teenagers and young men. Careful examinations of severe damage to the seminiferous epithelium after repair of unilateral torsion have never shown a significant contralateral effect on spermatogenesis 20 or even on a number of other. Cremasteric contraction causes an rotational force to the testes.
Testicular torsion occurs when the spermatic cord becomes twisted. The condition is mainly related to a congenital condition due to a bell clapper deformity that causes the testicle to twist suddenly around its cord leading to testicular ischemia and possibly infarction. The condition is treated as an emergency because the preservation of the testicle and ultimately fertility is dependent on early diagnosis and treatment. Testicular torsion is a known urological emergency. Testicular grayscale ultrasound is the modality of choice for the imaging evaluation of acute scrotal pain. Testicular torsion is caused by an abnormal mobility of the testicle. Testicular torsion remains a common surgical emergency of adolescent males. This causes a restriction in blood flow to the testes, severe pain, and possibly permanent damage. Testicular torsion symptoms and causes mayo clinic. Testicular torsion in the perinatal period is an uncommon finding.
Testicular torsion is a urological emergency caused by the twisting of the testicle on the spermatic cord leading to constriction of the vascular supply and timesensitive ischaemia andor necrosis of testicular tissue. We believe that it should carry out a surgical exploration as quick as possible because if any. The strategy that prevents gonadal loss is immediate exploration of the affected inguinal canal. Testicular torsion history and exam bmj best practice. When the testicle twists on itself it causes the blood supply to kink and the testis does not receive the oxygen it needs to live. Testicular torsion is an acute vascular event causing the rotation of the vascular pedicle of the testis, thereby impeding the blood flow to the testis and the scrotal contents. Testicular torsion causes immediate circulatory changes and longterm sequelae such as. Prompt diagnosis remains difficult and testicular salvage rates depends on the interval between symptom onset and the surgical treatment. Testicular torsion can affect males at any age but boys usually aged between 12 to 18 years are at greater risk of intravaginal torsion than other age groups. Protective effects of ibuprofen on testicular torsiondetorsioninduced ischemia. Occasionally, these attachments do not exist and the testicle can twist. Development and initial validation of a scoring system to diagnose testicular torsion in children american urological association. Testicular torsion symptoms, diagnosis and treatment.
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