What is bilateral testicular torsion?
What is bilateral testicular torsion?
This congenital abnormality is present in approximately 12% of males and is bilateral in 40% of cases. The bell clapper deformity allows the testicle to twist spontaneously on the spermatic cord. Torsion occurs as the testicle rotates between 90° and 180°, compromising blood flow to and from the testicle.
What are the two types of testicular torsion?
Torsion manifests in two ways: as extravaginal torsion (EVT) and intravaginal torsion (IVT). EVT is common in newborns, and IVT is common in adolescents. Bell clapper deformity is thought to be a major cause of IVT.
What happens if testicular torsion goes untreated?
Testicular torsion causes sudden pain and swelling in the scrotum or lower abdomen. This is an emergency situation — if left untreated, the condition can lead to a permanently damaged or dead testicle which must then be removed.
How do you fix testicular torsion?
Surgery is required to correct testicular torsion. In some instances, the doctor might be able to untwist the testicle by pushing on the scrotum (manual detorsion). But you’ll still need surgery to prevent torsion from occurring again. Surgery for testicular torsion is usually done under general anesthesia.
Is testicular torsion an emergency?
Testicular torsion usually requires emergency surgery. If treated quickly, the testicle can usually be saved. But when blood flow has been cut off for too long, a testicle might become so badly damaged that it has to be removed.
Does testicular torsion hurt immediately?
What Are the Symptoms? If your son has testicular torsion, he’ll feel a sudden, possibly severe pain in his scrotum and one of his testicles. The pain can get worse or ease a bit, but probably won’t go away completely. If your son has sudden groin pain, get him to a hospital emergency room as soon as you can.
How to tell that I have testicular torsion?
Severe pain and tenderness in your scrotum
What are the causes of testicular torsion?
The primary cause of testicular torsion is incomplete attachment of the testes inside the scrotum. This allows for freer movement of the testes inside the scrotum, which facilitates the twisting which results in this condition. Each testicle is connected to the body through a spermatic cord.
What is the treatment for testicular torsion?
Surgical detorsion is the definitive treatment for testicular torsion. Manual detorsion of the torsed testis may be attempted but is usually difficult because of acute pain during manipulation.
How do you prevent testicular torsion?
If you are out in the wilderness during the winter, make sure to wear proper clothing to keep your testicles from getting cold. Wear pants and supportive underwear that keep your testicles close to your body. Undergo attachment surgery. In many cases, surgery can prevent testicular torsion.