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Testicular torsion

Definition:

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

Alternative Names:

Torsion of the testis; Testicular ischemia; Testicular twisting

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).

References:

Expert Panel on Urologic Imaging. Acute onset of scrotal pain (without trauma, without antecedent mass). Reston, Va: American College of Radiology; 2005. 4 p.

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

Wein AJ. Campbell - Walsh Urology . 9th ed. St. Louis, Mo: WB Saunders; 2007.

Male reproductive anatomy

Male reproductive system

Testicular torsion repair - series

Review Date: 7/23/2007
Reviewed By: Marc Greenstein, DO, Urologist, North Jersey Center for Urologic Care, Denville, NJ. Review provided by VeriMed Healthcare Network.

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