Onset of severe testicular spermatic cord torsion. Medical search. Frequent questions

A high index of suspicion for spermatic cord (testicular) torsion should be maintained among men who have a sudden onset of symptoms associated with epididymitis because this condition is a surgical emergency. (cdc.gov)
Men who have acute epididymitis typically have unilateral testicular pain and tenderness, hydrocele, and palpable swelling of the epididymis. (cdc.gov)
For men with severe unilateral pain with sudden onset, those whose test results do not support a diagnosis of urethritis or urinary tract infection, or for whom diagnosis of acute epididymitis is questionable, immediate referral to a urologist for evaluation for testicular torsion is vital because testicular viability might be compromised. (cdc.gov)
However, because partial spermatic cord torsion can mimic epididymitis on scrotal ultrasound, differentiation between spermatic cord torsion and epididymitis when torsion is not ruled out by ultrasound should be made on the basis of clinical evaluation. (cdc.gov)
There are other potential causes of severe testicular pain, such as the inflammatory condition epididymitis . (healthline.com)
It is capable of differentiating the most important etiologies of acute scrotal pain and swelling, including epididymitis and testicular torsion, and is the imaging modality of choice in acute scrotal trauma. (e-ultrasonography.org)
Family physicians must keep in mind the emergency or "must not miss" diagnoses associated with testicular masses, including testicular torsion, epididymitis, acute orchitis, strangulated hernia and testicular cancer. (aafp.org)
However, in both conditions, generalized swelling and tenderness often develop, making it difficult to distinguish torsion from epididymitis. (msdmanuals.com)
Some of the common disorders of the testicle which collectively form Testicular Infection are epididymitis , orchitis , testicular trauma, and testicular torsion . (epainassist.com)
As stated above, testicular disorders that are associated with Testicular Infection are epididymitis, orchitis, testicular trauma, and testicular torsion. (epainassist.com)
A thorough physical examination is more than enough to diagnose Testicular Infection caused by testicular torsion, orchitis, and epididymitis. (epainassist.com)
Prehn's sign - Elevation of the testicle relieves pain in epididymitis, not in torsion. (uchicago.edu)

Such symptoms are either caused by testicular torsion which is a medical emergency requiring surgery, and tenderness in the breasts is a warning sign if possible testicular cancer. (homeremediesforall.com)
It should also be included in the differential diagnosis of the any lower abdomen pain on either side irrespective of absence of testicular tenderness or any local complaints. (lupinepublishers.com)
The inguinal canals should be explored for hernias or cord tenderness. (aafp.org)

In the process, it creates anti-testicular cell antibodies, or proteins that cross the injured blood-testis barrier and damage both the affected and contralateral testicles. (wikipedia.org)
However, the spermatic cord, which supplies blood to the epididymis and testis, can twist. (corespirit.com)
Testicular torsion is an acute emergency condition that warrants urgent diagnosis to save the testis from fatal infarction. (lupinepublishers.com)
The first reported case of torsion of an undescended testis was published in 1840 [1]. (lupinepublishers.com)
The patient should perform the Valsalva maneuver while standing so he can be evaluated for a mass of dilated testicular veins in the spermatic cord forming a varicocele above and behind the testis. (aafp.org)
Funiculitis, an inflammation of cord structures, may cause inguinal or scrotal pain, but the testis is normal. (aafp.org)
The free-floating testis is more likely to twist on its cord and strangulate its blood supply through intra-vaginal torsion. (aafp.org)
In this disorder, incomplete attachment of the gubernaculum and testicular tunics to dartos fascia causes the cord to twist above the level of the testis and tunica vaginalis. (aafp.org)
Testicular torsion is an emergency condition due to rotation of the testis and consequent strangulation of its blood supply. (msdmanuals.com)
This anomaly predisposes the testis to twisting on its cord spontaneously or after trauma. (msdmanuals.com)
B: Fixation is too high, allowing the testis to rotate transversely and resulting in torsion. (msdmanuals.com)
If this fixation is insufficient, then the testis may lie in a transverse position known as the "bell-clapper" deformity, which makes the testis more prone to twisting on the spermatic cord within the tunica vaginalis. (uchicago.edu)
The twisting of the testis within the tunica vaginalis, or so-called "intravaginal" twisting, is the torsion referred to in testicular torsion. (uchicago.edu)
During the neonatal period, torsion is defined as "extravaginal" because the tunica vaginalis is not well fixed to the scrotal wall so the tunica vaginalis investment twists along with the testis. (uchicago.edu)
Usually there is an acute onset of pain in the scrotum or testis, however the patient may complain of inguinal or lower abdominal pain. (uchicago.edu)
Any swelling in the scrotum is torsion of the testis until proven otherwise. (uchicago.edu)
This will depend on the duration of torsion and the viability of the testis after detorsion has been performed. (uchicago.edu)
Some authors report decreased fertility when a testis is left in situ following a unilateral torsion. (uchicago.edu)
Torsion of the appendices of the testis. (uchicago.edu)
May need to surgically explore to rule out a torsion of the testis. (uchicago.edu)
The age is similar to torsion of the testis. (uchicago.edu)
PURPOSE: This study aims to build a 3D reconstruction computed simulation model and to establish a regression equation for detecting the testis's temperature by its location after first staged open orchidopexy in children with abdominal undescended testis (UDT) and short spermatic cords. (bvsalud.org)
The testicular temperature regression equation derived from testis location was calculated by the formula: 34.57 + 0.0236 X12 - 0.0105 X2 - 0.0018 X3. (bvsalud.org)
A testicular temperature regression equation can be established based on the testis location, which will provide relevant information for the testicular development assessment, disease diagnosis, and follow-up, and possibly determination of the time of the second stage of orchiopexy. (bvsalud.org)
Testicular biopsy is indicated in azoospermic men with a normal-sized testis and normal findings on hormonal studies to evaluate for ductal obstruction, to further evaluate idiopathic infertility, and to retrieve sperm. (medscape.com)

Ultrasound should be reserved for men if torsion of the spermatic cord is suspected or for those with scrotal pain who cannot receive an accurate diagnosis by history, physical examination, and objective laboratory findings. (cdc.gov)
There may be a history of previous, similar episodes of scrotal pain due to prior transient testicular torsion with spontaneous resolution. (wikipedia.org)
The classic presentation is acute, severe scrotal pain at rest. (lupinepublishers.com)
Patients with a testicular mass may present with a painless lump or scrotal pain, which can range from severe pain to a dull ache that worsens with exercise. (aafp.org)
Patients with testicular torsion often present with sudden, severe, unilateral scrotal pain that is often associated with nausea and vomiting. (aafp.org)

Bilateral symptoms should increase suspicion of other causes of testicular pain. (cdc.gov)
The diagnosis should usually be made based on the presenting symptoms, but requires timely diagnosis and treatment to avoid testicular loss. (wikipedia.org)
Knowing that others in your family have experienced testicular torsion can help you request emergency treatment immediately if its symptoms affect you or someone in your family. (healthline.com)
What are the symptoms of testicular torsion? (healthline.com)
Pain and swelling of the scrotal sac are the main symptoms of testicular torsion. (healthline.com)
The two most important factors determining testicular damage are the time from the onset of symptoms to the reduction of torsion and the degree of twisting in the cord [10]. (lupinepublishers.com)
Initiating factors for torsion can include trauma or vigorous exercise, but symptoms may also occur during sleep. (aafp.org)
Immediate symptoms are rapid onset of severe local pain, nausea, and vomiting, followed by scrotal edema and induration. (msdmanuals.com)
Radiological studies will be done to rule out other causes of testicular pain and other symptoms associated with it. (epainassist.com)
Blood tests will be done to find out if bacteria or fungal infection is the cause of the symptoms and Testicular Infection. (epainassist.com)
Orchitis- usually more gradual onset of symptoms. (uchicago.edu)

The testicle may lie higher in the scrotum due to twisting and subsequent shortening of the spermatic cord or may be positioned in a horizontal orientation. (wikipedia.org)
Symptom onset often follows physical activity or trauma to the testes or scrotum. (wikipedia.org)
Those who experience torsion sometimes have weaker connective tissue in the scrotum. (healthline.com)
Testicular torsion is considered one of the important causes of acute scrotum. (lupinepublishers.com)
Testicular torsion is the cause of 16-39.5% of cases of acute scrotum in childhood [7]. (lupinepublishers.com)
Testicular torsion is the most common cause of acute scrotum in the first year of life (83%) [8]. (lupinepublishers.com)

Torsion of the spermatic cord (testicular torsion) - the main differential diagnosis - which is a surgical emergency. (willyworries.com)
Such a history favors the diagnosis of torsion. (aafp.org)
With a prompt diagnosis and appropriate treatment, the prognosis of Testicular Infection is quite good and an individual can get back his testicular function in no time. (epainassist.com)

This deformity accounts for 90 percent of testicular torsion cases. (healthline.com)
In cases of testicular torsion, an anatomic deformity allows the spermatic cord to twist, resulting in occlusion of testicular blood flow. (aafp.org)
This deformity, however, is not necessary for torsion to occur. (uchicago.edu)

A cord known as the spermatic cord carries blood to the testicles. (healthline.com)
Two risk factors for testicular torsion include undescended testicles and testicular tumors. (corespirit.com)
Testicular torsion cuts off the blood supply to the testicles so it is a dangerous condition. (homeremediesforall.com)
All of these conditions result in Testicular Infection and cause pain in the testicles. (epainassist.com)
This injury may be caused due to a sporting injury where the ball gets hit directly on the testicles or an assault where an individual gets kicked or hit by an object directly in the testicular area. (epainassist.com)

If it can be arranged without delay, colour Doppler ultrasound is useful to help differentiate between Epididymo-Orchitis and torsion of the spermatic cord. (willyworries.com)
Chronic testicular lesions, including orchitis and testicular torsion, can cause unilateral or bilateral testicular atrophy. (aafp.org)
Various bacterial or fungal infections may result in Orchitis and this is one of t he major cause of testicular pain in young teenagers. (epainassist.com)

Family physicians often must evaluate patients with testicular pain or masses. (aafp.org)

Unilateral testicular pain. (willyworries.com)

This leads to a rapid onset of severe testicular pain and swelling. (homeremediesforall.com)

Spermatocele -A spermatocele (testicular cyst or epididymal cyst) occurs in the epididymis which is the long tightly coiled tube that lies above and behind each testicle. (homeremediesforall.com)
It could be testicular torsion, a rare condition that occurs when one of the spermatic cords gets twisted, often as the result of a common congenital defect or from an infection of the epididymis, where sperm is stored. (thehealthy.com)

Extravaginal torsion, which is far less common than intravaginal torsion, occurs exclusively in neonates. (aafp.org)
Intravaginal testicular torsion occurs most often in young men but can also affect middle-aged men. (aafp.org)

Testicular torsion occurs when the spermatic cord (from which the testicle is suspended) twists, cutting off the blood supply to the testicle. (wikipedia.org)
Testicular infarction: Testicular damage occurs as a consequence of decreased blood flow, and therefore decreased oxygen and nutrient supply, to the testicle. (wikipedia.org)
Torsion most commonly occurs either in the newborn or just before or during puberty. (wikipedia.org)
Testicular torsion often occurs before or during puberty, prior to complete testicular descent. (wikipedia.org)
Testicular torsion usually occurs in only one testicle. (healthline.com)
Testicular Torsion - It generally occurs in the younger ages. (homeremediesforall.com)
It occurs when the spermatic cord on which the testicle is suspended gets twisted. (homeremediesforall.com)

We herein report a case of Testicular infarction due to testicular torsion in a 15 years old young boy. (lupinepublishers.com)

In case if the infection is severe or in cases if the testicular torsion causing Testicular Infection is not corrected appropriately with surgery then it may result in testicular atrophy or even sometimes infertility due to Testicular Infection. (epainassist.com)

During a torsion of the testes, this cord twists. (healthline.com)
Bilateral torsion, when both testes are simultaneously affected, is extremely rare. (healthline.com)
Torsion of the testes is a medical emergency, but many adolescents are hesitant to say that they're hurting or seek treatment right away. (healthline.com)
If the fixation is too high (anterior and cephalad), the testes can move more freely and torsion is more likely. (msdmanuals.com)

However, testicular torsion may cause abnormal sperm function on semen analysis, although these abnormalities are more likely to be found in adolescents and in adults. (wikipedia.org)

This review covers the normal scrotal anatomy as well as various testicular and scrotal lesions. (e-ultrasonography.org)

In some cars hernia can be the cause of your testicular lumps. (homeremediesforall.com)
In most of such cases surgery is required to fix the hernia and your testicular lump resolves on its own. (homeremediesforall.com)
Inguinal hernias are often classified as direct or indirect, depending on whether the hernia sac bulges directly through the posterior wall of the inguinal canal (direct hernia) or passes through the internal inguinal ring alongside the spermatic cord, following the coursing of the inguinal canal (indirect hernia). (passmed.uk)

It causes acute onset pain but is typically not as severe as in testicular torsion. (uchicago.edu)

however, he endorses severe, sudden pain associated with nausea and non-bloody, non-bilious emesis. (emdocs.net)

Torsion is most common in adolescent males. (healthline.com)
Testicular torsion usually affects babies and adolescent boys but can occur at any age. (corespirit.com)

The most common symptom in children is sudden, severe testicular pain. (wikipedia.org)
Any disorder or a group of disorders which has testicular pain as its primary symptom is termed as a Testicular Infection. (epainassist.com)
The basic symptom of inflamed tonsils is a moderate to severe sore throat tasting longer than 2 days and involves inflammation of the tonsils. (healtreatcure.org)

Of children with testicular pain of rapid onset, testicular torsion is the cause of about 10% of cases. (wikipedia.org)
Testicular torsion usually presents with severe testicular pain or pain in the groin and lower abdomen. (wikipedia.org)
Children with testicular torsion may awaken with testicular or abdominal pain in the middle of the night or in the morning. (wikipedia.org)
The onset of pain is sudden. (willyworries.com)
The pain is severe. (willyworries.com)
The onset of pain may be quite sudden, and the pain can be severe. (healthline.com)
Boys or men with testicular torsion experience immediate onset of sharp pain at a specific point followed by swelling of the testicle. (corespirit.com)
The pain in abdomen was started at 2 am night which was very severe in nature and associated with vomiting. (lupinepublishers.com)
The pain may be localized or may radiate along the spermatic cord into the lower abdomen. (aafp.org)
Usually, however, the onset and resolution of pain is very rapid with each episode. (msdmanuals.com)
A 25-year-old male is brought to the ED by EMS after sudden onset right testicular pain while playing basketball. (emdocs.net)
To control the pain and inflammation caused due to testicular infection, pain medications may be given. (epainassist.com)
There is usually no history of trauma, but there is often a history of previous testicular pain that resolved by itself. (uchicago.edu)
Pain onset can be acute, but also may be sub-acute. (uchicago.edu)
A third of patients scheduled for surgery have no pain, and severe pain is uncommon (1.5% at rest and 10.2% on movement). (passmed.uk)

Testicular tumor or prior trauma may increase risk. (wikipedia.org)

Torsion is more common in men who are under 20 years of age - predominantly adolescents - but it can occur at any age. (willyworries.com)

Ultrasonography is an essential imaging modality in diagnosing testicular and scrotal pathology, as it provides fine anatomical details of the testicle and surrounding structures and evaluates vascular perfusion in real time. (e-ultrasonography.org)

Ultrasound should be used primarily for ruling out torsion of the spermatic cord in cases of acute, unilateral, painful scrotal swelling. (cdc.gov)
Sepsis, in extremely rare cases (0.03%), if not treated for a long period of time, it could lead to sepsis and cause severe life-threatening infections and injuries through the blood and organs, which could lead to death. (wikipedia.org)
In severe cases of priapism, a surgical shunt can be placed. (corespirit.com)
In majority of the cases Testicular Infection is treated with surgery, especially testicular torsion. (epainassist.com)
The alert indicated 'the cases have in common overlapping features of toxic shock syndrome and atypical Kawasaki disease with blood parameters consistent with severe COVID-19 in children. (keepkidshealthy.com)
Surgical removal of the tonsils [tonsillectomy] may be needed in some severe cases. (healtreatcure.org)

The epididymal head overhangs the superior pole of the testicle and is isoechoic or slightly hyperechoic to the adjacent testicular tissue. (e-ultrasonography.org)

A larger testicle either due to normal variation or testicular tumor increases the risk of torsion. (wikipedia.org)
This movement increases the risk of the spermatic cord becoming twisted. (healthline.com)

Torsion has a bimodal incidence - a small peak in the neonatal period, and a large one during puberty, however it can occur at any time. (uchicago.edu)

The most common cause of an emergency related to the male genitourinary tract is a highly painful one called testicular torsion. (healthline.com)
For a better understanding of the clinical significance of the inguinal canal and the adjacent femoral sheath, this region may be conceptually broken down into osseous, myotendinous, neurovascular, lymphatic, and genitourinary/spermatic cord components. (medscape.com)

Using ultrasonography to obtain the testis's location distance from the skin surface (X1), external iliac vessel (X2), and internal inguinal ring (X3), we input the data into a 3D reconstruction computed simulation along with COMSOL to calculate the testicular temperature. (bvsalud.org)

Although its overall incidence is not high, it remains the most common cause of testicular loss in these age groups. (lupinepublishers.com)
The incidences of severe asphyxia, pulmonary hemorrhage, PDA, P-IVH, and NRDS decrease in both the heavier and lighter infants of the twins, but the incidence of bronchopulmonary dysplasia increases. (bvsalud.org)

RESULTS: There was no significant difference between the right and left testicular volume in neonates without cryptorchidism. (bvsalud.org)

Torsion does not seem to affect long-term sperm function in neonates. (wikipedia.org)
BACKGROUND: Testicular volume in neonates is a potential indicator of testicular development during the fetal period, particularly the masculinization programming window. (bvsalud.org)
This study aimed to assess the testicular volume in neonates and evaluate its relationship with gestational week and birth weight in Hainan Province, China. (bvsalud.org)

METHODS: In this cross-sectional study, we enrolled 31 children with abdominal UDT and short spermatic cords who underwent first staged orchiopexy between 2017 and 2020. (bvsalud.org)

Testicular lump should be taken seriously. (homeremediesforall.com)
Testicular cancer is treatable, therefore if you see any hard lump on your testicle then immediately consult your doctor. (homeremediesforall.com)

For testicular salvage, time is of the essence-the earlier the surgical intervention, the higher the likelihood of testicular salvage [9]. (lupinepublishers.com)

Reliable measurements of testicular volume provide an opportunity for early detection of testicular abnormalities. (bvsalud.org)

Anatomy3

Diseases6

Psychiatry and Psychology1

Health Care1

Epididymitis12

Tenderness3

Testis25

Scrotal pain5

Symptoms11

Scrotum6

Diagnosis3

Deformity3

Testicles5

Orchitis3

Patients with testicular1

Unilateral testicular pain1

Rapid onset of severe1

Epididymis2

Intravaginal2

Occurs7

Infarction1

Atrophy1

Testes4

Abnormal1

Lesions1

Hernia3

Typically1

Nausea1

Adolescent2

Symptom3

Pain15

Trauma1

Occur at any age1

Pathology1

Cases6

Epididymal1

Increases the risk2

Bimodal1

Genitourinary2

Ultrasonography1

Incidence2

Cryptorchidism1

Neonates3

20201

Lump2

Salvage1

Abnormalities1