What Is a Twisted Testicle?

The testicles are connected to the scrotum through the testicular mesangium, which is fixed to the scrotum by the testicular mesangium. Some fetuses develop too long mesangial membranes on one or both sides during development. After birth, the activity of the testes and spermatic cord is very large. If they suddenly encounter force or violent shock, the testes and spermatic cord will A certain degree of twisting occurs, also called spermatic cord twisting.

Basic Information

English name

torsionoftestis

Visiting department

Urology

Common symptoms

Pain, vomiting, nausea, fever, redness, tenderness

Contagious

no

Clinical manifestations of testicular torsion

The onset of testicular torsion is more rapid than in sleep. Patients with severe testicular and scrotal pain on one side. At the beginning of the reversal, the pain is still limited to the scrotum, and it will develop to the lower abdomen and perineum. It will also be accompanied by vomiting, nausea or fever, and redness and tenderness in the genitals.

1. Sudden sudden pain in the abdomen.

2. Testicles show severe pain.

3. The position of the twisted testicles in the scrotum appears higher than normal testes.

4. Children may experience nausea and vomiting.

5. After a few hours of symptoms, the scrotum will become red and swollen and tender.

The clinical manifestations of testicular torsion are mainly pain and swelling. If it occurs in children, it is often more difficult to diagnose. Children will have anorexia and restlessness for unknown reasons, and the disease will generally develop faster.

Testicular torsion diagnosis

1. Sudden testicular pain occurs suddenly, and the testicles swell rapidly, accompanied by severe nausea and vomiting.

2. Testicular tenderness is obvious, and elevated testicles cannot relieve or aggravate pain. Testicular and epididymal positions are abnormal or palpation is unclear.

3. ^99m TC testicular scan, showing reduced testicular blood flow perfusion reduction.

4. Color Doppler ultrasonography: testicular blood circulation disturbance caused by spermatic cord torsion itself, manifested by enlarged testicles on the affected side and reduced echo. The color Doppler flow chart showed that the blood flow signal was significantly reduced or disappeared.

Differential diagnosis of testicular torsion

Acute epididymitis

Patients often have fever, and purulent cells are seen on urine tests.

2. Scrotal hematoma

Such patients have a clear history of trauma.

3. Hydrocele

This is a chronically developing disease that is generally not painful and can transmit light.

Testicular torsion treatment

If testicular torsion occurs, the best treatment is surgery. Surgical methods include surgical reduction and manual reduction.

Surgical reduction

After making a diagnosis of testicular torsion, you should strive for time for immediate surgical reduction and complete the operation within 6 hours of symptoms. The blood flow was normal after the twisted testis was reset, and then the testis, spermatic cord and the inner sheath of the scrotum were sutured to prevent recurrence. If the testicular blood circulation is found to be extremely poor during surgery and cannot be recovered after reduction, the testicles should be removed.

2. Manual reset

It can usually be tried at the beginning of the disease. Analgesics and antispasmodics should be given first, and then half an hour later, the testes in the lateral position and raised should be gently reset. After the reduction is successful, support the scrotum with a T strap to allow the affected testis to fully rest. However, relapse cannot be prevented after manual reduction.

Ice can be applied after surgery to reduce pain and edema. At the same time, the scrotum is fixed with a T tape for a week to gradually restore normal function.

Testicular torsion prevention

In daily life, many patients care about reversing the paralysis of the testicles, and endure the pain when they suffer, which delays early treatment, and some individuals lose fertility and cause life-long misfortune. Therefore, if adolescents and before and after patients suddenly have scrotal swelling and pain, especially adolescents, the possibility of testicular torsion should be considered, and the hospital should be promptly diagnosed and treated.

In the early stages of testicular torsion, good results can be obtained by resetting with bare hands. But for a long time, it can only be treated by surgery. In addition, if the testicular torsion unfortunately occurs, you must ask your doctor for a routine semen test after treatment to understand the function of the affected testicle and the contralateral testicle. This is even more important for young unmarried men.