Testicular torsion treatment without surgery

Testicular torsion

testicular torsion treatment without surgery

Pain Honeymoon and Testicular Torsion

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Torsion of the testis happens when a testicle rotates on the spermatic cord, which provides blood to the groin from the abdomen. This article was co-authored by Chris M. Matsko, MD. Matsko is a retired Physician in Pennsylvania. He received his M. Categories: Men's Health. Matsko, MD Updated: March 29,

The most common cause of an emergency related to the male genitourinary tract is a highly painful one called testicular torsion. Men have two testicles that rest inside the scrotum. A cord known as the spermatic cord carries blood to the testicles. During a torsion of the testes, this cord twists. As a result, blood flow is affected and the tissues in the testicle can start to die. According to the American Urological Association, this condition is uncommon and affects only about 1 in 4, under the age of

Intermittent testicular torsion presents with recurrent episodes of severe unilateral testicular pain with resolution of symptoms between episodes. We present a case of a year-old man with a year history of intermittent testicular pain presenting to the urology clinic for elective surgical evaluation. He reported monthly symptoms for many years and had learned to manually reduce the torsion with each episode. Diagnosis of intermittent testicular torsion was made based on patient history and treatment with bilateral orchiopexy resulted in complete symptom resolution and without any loss of testicular function. Testicular torsion is among the most common causes of acute testicular pain and prompt diagnosis is critical in order to preserve testicular function. Acute testicular torsion is often reported in pediatric and adolescent populations and less frequently in adults [ 1 , 2 ].

It happens when the spermatic cord, which provides blood flow to the testicle, rotates and becomes twisted. The twisting cuts off the testicle's blood supply and causes sudden pain and swelling. Testicular torsion also called testis torsion requires immediate surgery to save the testicle. If testicular torsion goes on for more than a few hours, it can permanently damage the testicle , and a damaged testicle must be removed. The amount of twisting can be anywhere from degrees.



Testicular Torsion

What is Testicular Torsion?

Testicular torsion is considered a clinical emergency. It occurs when a testicle rotates, twisting the spermatic cord that brings blood to the scrotum. Without intervention, the testes becomes ischemic with eventual testicular loss. Based on history and physical exam, most clinicians can make an accurate diagnosis of testicular torsion. Males with testicular torsion present acutely with severe scrotal pain usually within less than 6 hours and usually no more than 24 hours of symptoms. There may be a history of vigorous physical activity or minor trauma prior to the onset of pain.

Previous testicular torsion: If the torsion occurs once and resolves without treatment, it is likely to happen again in either testicle, unless surgery is performed to.
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Your doctor will ask you questions to verify whether your signs and symptoms are caused by testicular torsion or something else. Doctors often diagnose testicular torsion with a physical exam of the scrotum, testicles, abdomen and groin. Your doctor might also test your reflexes by lightly rubbing or pinching the inside of your thigh on the affected side. Normally, this causes the testicle to contract. This reflex might not occur if you have testicular torsion. Sometimes medical tests are necessary to confirm a diagnosis or to help identify another cause for your symptoms.

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4 thoughts on “Testicular torsion treatment without surgery

  1. If you've had pain for several hours and your physical exam suggests testicular torsion, you might be taken directly to surgery without any.

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