What can be mistaken for testicular torsion?

Conditions that may mimic testicular torsion, such as torsion of a testicular appendage, epididymitis, trauma, hernia, hydrocele, varicocele and Schönlein-Henoch purpura, generally do not require immediate surgical intervention.

What is the most common cause of testicular torsion?

Testicular torsion often occurs several hours after vigorous activity, after a minor injury to the testicles or while sleeping. Cold temperature or rapid growth of the testicle during puberty also might play a role.

What are the two types of testicular torsion?

Testicular torsion may be classified into extravaginal or intravaginal types and is typically seen in neonates and adolescents respectively [3] .

Are there different types of testicular torsion?

In the neonatal form of torsion (extravaginal or supravaginal) the whole content of the hemiscrotum rotates around the spermatic cord at the level of the external inguinal ring 2,3. In adolescents or young adults the more common torsion is intravaginal.

Is there mild testicular torsion?

Intermittent testicular torsion (ITT) is another important clinical condition that may be misdiagnosed even in a pediatric population [4]. Testicular torsion in adults is less common, and ITT in adults is even less reported and may not be considered in the differential diagnosis of acute testicular pain [7].

Can you have a partial testicular torsion?

Such cases might present diagnostic dilemmas for both the pediatric radiologist and urologist. Testicular torsion is not an all-or-none phenomenon and can be of complete, partial or intermittent types.

Who is at risk for testicular torsion?

Testicular torsion is most common in adolescents between 12 to 18 years of age. Newborn babies and toddlers are also more likely to experience the condition. It is rare over the age of 30.

Can you have mild testicular torsion?

Can you have testicular torsion for months?

Testicular torsion is an important and common cause of acute testicular pain and can occur intermittently even for many years in some patients.

How is partial testicular torsion treated?

Treatment of testicular torsion An emergency operation is usually done. A small cut is made in the skin of your scrotum to expose the testis. The affected testis and spermatic cord are untwisted. The testis is then stitched to the surrounding tissue and fixed in position to prevent torsion happening again.

Is partial torsion painful?

In partial or incomplete torsion, the degree of spermatic cord twist is less than 360°, allowing for some residual perfusion to the testis. However there is no spontaneous resolution of pain [1].

How long can I survive with testicular torsion?

This occurs in about one in every 4,000 males. This condition is a surgical emergency. The testicle can survive for only about six to eight hours without any blood flowing to it.

Can you have a mild testicular torsion?

How do you untwist your balls?

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.

How long is recovery from testicular torsion surgery?

After surgery for testicular torsion, there will be bruising and swelling for about a week or so. The good news is dissolvable stitches are usually used, so there is no need for removal. Your child or teen will be able to go back to normal activities, including attending school, in about 1-2 weeks.

Is testicular torsion fatal?

Testicular torsion is a medical emergency. Since all blood for the testicle comes through the spermatic cord, the blood supply is cut off with a twist. The testicle will shrink (“atrophy”) if the blood supply isn’t restored within 6 hours. With no blood, the testicle could die (or “infarct”).

Can you fix testicular torsion yourself?

Sometimes, testicular torsion can cause a sudden pain in the testicle that goes away without treatment. This is because the testicle twists and then untwists on its own. If this happens, see a doctor as soon as possible. You might be advised that surgery is needed to prevent it happening again.