Contents
How to Handle Testicular Torsion Emergencies
Published: Apr 05, 2024
Testicular torsion is a medical emergency requiring swift action to save the testis. Here's a guide on what to do if you suspect torsion.
Recognizing Testicular Torsion
Testicular torsion presents as sudden, severe scrotal pain often accompanied by nausea and vomiting. The affected testis may appear elevated or oriented horizontally, a key sign known as the 'bell clapper' deformity.
Immediate Actions to Take
If testicular torsion is suspected, immediate emergency care is critical. Ideally, testicular ultrasound should be performed within the first hour of presentation. If unavailable, exploratory surgery is recommended to prevent testicular loss.
Understanding Surgical Intervention
Surgical detorsion aims to untwist the spermatic cord and restore blood flow. Intraoperative fixation of both testes is performed to prevent future torsion, as this condition is often bilateral.
Prognosis and Recovery
Timely intervention is crucial for testicular viability. Surgery within six hours offers a high chance of saving the testis, while delays beyond 24 hours significantly decrease viability.
Frequently Asked Questions
It's when the spermatic cord twists, cutting off blood flow to the testis.
Ideally within six hours to maximize testicular survival.
Yes, which is why surgical fixation is done on both testes.
Symptoms include sudden scrotal pain, nausea, and vomiting.
The Bottom Line
Quick action in testicular torsion cases can mean the difference between saving or losing the testis.
References
- Wilbert DM, Schaerfe CW, Stern WD, et al. Evaluation of the acute scrotum by color-coded Doppler ultrasonography. J Urol 1993; 149:1475.
- Kapasi Z, Halliday S. Best evidence topic report. Ultrasound in the diagnosis of testicular torsion. Emerg Med J 2005; 22:559.
- Pepe P, Panella P, Pennisi M, Aragona F. Does color Doppler sonography improve the clinical assessment of patients with acute scrotum? Eur J Radiol 2006; 60:120.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
AI Doctor Visit Required
Appointments available 24/7
Top licensed doctors
Available in all 50 states
Full service care
Prescriptions, referrals & treatment
No insurance needed
All notes available in Doctronic
15-min consultation. No hidden costs.
AI Doctor Visit Required
Please Chat With Our AI Doctor First
Our AI doctor assessment helps our human doctors prepare for your video visit and provide better care
For safety reasons we have been forced to end this consultation.
If you believe this is a medical emergency please call 911 or your local emergency services immediately.
If you are experiencing emotional distress, please call the the Suicide & Crisis Lifeline at 988 or your local crisis services immediately.
Contact us
You can also email us at help@doctronic.ai
We aim to reply within 5-7 days
How likely are you to recommend Doctronic to friends or family?