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.
Contents
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.
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.
Key Takeaways
Quick action in testicular torsion cases can mean the difference between saving or losing the testis.
If you suspect torsion, discuss immediate steps with Doctronic to ensure prompt care.Related Articles
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.
Always discuss health information with your healthcare provider.