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Testicular torsion

Testicular torsion

Male reproductive anatomy
Male reproductive anatomy
Male reproductive system
Male reproductive system
Testicular torsion repair - series
Testicular torsion repair - series

Definition:

Testicular torsion is the twisting of the spermatic cord, which cuts off the blood supply to the testicle and surrounding structures within the scrotum.

Alternative Names:
Torsion of the testis; Testicular ischemia; Testicular twisting
Causes, incidence, and risk factors:

Some men may be predisposed to testicular torsion as a result of inadequate connective tissue within the scrotum. However, the condition can result from trauma to the scrotum, particularly if significant swelling occurs. It may also occur after strenuous exercise or may not have an obvious cause.

The condition is more common during infancy (first year of life) and at the beginning of adolescence (puberty).

Symptoms:
  • Sudden onset of severe pain in one testicle, with or without a previous predisposing event
  • Swelling within one side of the scrotum (scrotal swelling)
  • Nausea or vomiting
  • Light-headedness

Additional symptoms that may be associated with this disease:

Signs and tests:
  • Extremely tender and enlarged testicular region -- more common on the right
  • The testicle on the affected side is higher

Review Date: 7/23/2007
Reviewed By: Marc Greenstein, DO, Urologist, North Jersey Center for Urologic Care, Denville, NJ. Review provided by VeriMed Healthcare Network.

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