Sunday, December 30, 2012

Overview of testicular torsion

 Testicular torsion - Dangerous but few people know

Normally, the testicles firmly fixed in the scrotum. But in some cases, these fixed points become loose (often associated with two testicles), causing the state of twisted spermatic cord. The disease usually occurs in infants and adolescents. If not treated early, it can cause infertility.

Infants, twisted spermatic cord with the expression:


Children saw a testicle, not pain, felt solid, the scrotal skin dark red or pale, lose wrinkles. There are cases where part of the scrotum blank due to testicular torsion must pass from the first.

 In adolescence:


Twisted spermatic cord presents with severe acute pain on one side of the scrotum, spread the groin or pelvis, nausea or vomiting. Inflammation of the scrotum, the increase in volume, swelling of the red skin lose wrinkles, press the pain.

To confirm the diagnosis of this disease:


The doctor will examine your specific clinical and registration of ultrasound to be able to directly see the spiral.


Twisted spermatic cord often bring serious consequences. Because the blood vessels of the testis is blocked should not be fed, very vulnerable. If delayed diagnosis and treatment, testicular necrosis or pus may be completely withered in a few months. Patients with a high risk of infertility, particularly in the case of testicular spermatic cord two sides are in turn twisted ...

The disease is a surgical emergency patients should be sent for examination and surgery soon. Surgery to remove the twist will help restore the blood supply to the testicle. The doctor also prevent recurrent torsion determined by the testicles, the testicles and spermatic cord twisted prevent contralateral fixed by it. Particularly infants, do not need urgent surgery to fix the remaining testicle, may delay this for a few months.

When you have surgery to remove twisted spermatic cord, patients are still at risk of testicular atrophy associated with malnutrition and secondary should be tested again after 6 months.

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