Testicular torsion

Testicular torsion, or spermatic cord torsion, is violent cremaster contraction on the spirally attached cord after strenuous exercise or blunt scrotal trauma, causing torsion and acute impaired testicular circulation. It often occurs with congenital long mesorchium, poor gubernacular development, cryptorchidism, incomplete descent, incomplete epididymal attachment, excessive epididymal/cord mobility or long cord. It is intratunical or extratunical, usually twisting outward-to-inward. Cryptorchidism is absent testis in the scrotum, including incomplete descent, ectopia and agenesis.

Common Symptoms

Sudden severe testicular pain; scrotal swelling; nausea; vomiting

Causes

Congenital long mesorchium, poor gubernaculum, cryptorchidism and incomplete descent predispose to torsion triggered by exercise or trauma.

Treatment

Emergency detorsion and orchiopexy within 6 hours

Prevention

Urgent surgery for sudden scrotal pain to save the testis.

Recommended Department

It is recommended to visit the andrology department; before the visit you may first book an appointment and connect with experts through this platform.

Warm reminder: The above information is provided for health education reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek care at a regular hospital in time.