Twisted spermatic cord

 Twisted spermatic cord or testicular torsion is a frequent urinary urgency.

 Spermatic cord is twisted by the testes is not firmly fixed, manually rotatable about its axis of locking part or all of the blood vessels to supply the testicles. Therefore, testicular necrosis.

Manifestations: sudden pain in the scrotum and pain is the most common symptom. The pain can be triggered in the night the patient to wake up. The pain may radiate to the groin and hips back. Touch testicular pain. The testicles twisted spermatic cord is usually located higher than the opposite side. Patients delay the scrotal skin swelling, bruising. Loss of scrotal skin reflex is a symptom of high specificity. Approximately 2% of patients can be twisted spermatic cord on both sides.

Twisted spermatic cord can occur at any age but is most common in 10-30 years, most are 13-15 years. United States, the incidence of torsion of the spermatic cord in people under 25 years is about 1/4.000.

Classification: There are two types of torsion of the spermatic cord in the desert crystal is common in adults and twisted spermatic cord on Mac frequent in children.

Diagnosis: There is a difference twisted spermatic cord with many other pathological causes of acute scrotal pain as orchitis, an inflammation of the epididymis, testicular trauma, inguinal hernia blocked ... So there is a rule to a patient with acute scrotal pain should think of the twisted spermatic cord until you get rid of this disease. Twisted spermatic cord diagnosis based mainly on clinical signs. Diagnostic imaging twisted spermatic cord by radiation and testicular color Doppler ultrasound to assess blood flow to the testicles.

Treatment: Once the diagnosis is confirmed or suspected twisted spermatic cord, it should be done immediately scrotal exploration is surgery to save the testicle. Testicular torsion can be removed and stored if the ischemia time less than 4 hours. If the patient is in arrears for more than 8 hours of the onset of pain, testicular damage is often irreversible.

Recognition is surgery scrotum gently surgery. Patients receiving spinal anesthesia and a small incision in the skin of the scrotum. After removing twisted testicle is attached to the scrotum to prevent twisting operation. When determining testicular necrosis, amputation of the testicles. If diagnosed early, the recovery rate of the testicles can reach 100%.

Therefore, if there is acute scrotum groin pain, male patients should be right specialist to be diagnosed and treated in time to avoid unjust lose a testicle due to a lack of understanding.