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Testicular torsion - Overview

Alternative Names

Torsion of the testis; Testicular ischemia; Testicular twisting

Definition of Testicular torsion:

Testicular torsion is the twisting of the spermatic cord, which cuts off the blood supply to the testicle and surrounding structures within the scrotum.

Causes, incidence, and risk factors:

Some men may be predisposed to testicular torsion as a result of inadequate connective tissue within the scrotum. However, the condition can result from trauma to the scrotum, particularly if significant swelling occurs. It may also occur after strenuous exercise or may not have an obvious cause.

The condition is more common during infancy (first year of life) and at the beginning of adolescence (puberty).

Male reproductive anatomy

Male reproductive system

Testicular torsion repair - series

Reviewed last on: 9/22/2009
Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; Louis S. Liou, MD, PhD, Assistant Professor of Urology, Department of Surgery, Boston University School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Turgut AT, Bhatt S, Dogra VS. Acute Painful Scrotum. Ultrasound Clinics. Jan 2008; 3(1).

Ringdahl E. Testicular Torsion. Am Fam Physician. Nov 2006; 74(10): 1739-43.

Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007.

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