Torsion of the testis; Testicular ischemia; Testicular twisting
Surgery is usually required and should be performed as soon as possible after symptoms begin. If surgery is performed within 6 hours, most testicles can be saved.
During surgery, the testicle on the other (non-affected) side is usually also anchored as a preventive measure. This is because the non-affected testicle is at risk of testicular torsion in the future.
If the condition is diagnosed quickly and immediately corrected, the testicle may continue to function properly. After 6 hours of torsion (impaired blood flow), the likelihood that the testicle will need to be removed increases. However, even with less than 6 hours of torsion, the testicle may lose its ability to function.
If the blood supply is cut off to the testicle for a prolonged period of time, it may atrophy (shrink) and need to be surgically removed. Atrophy of the testicle may occur days-to-months after the torsion has been corrected. Severe infection of the testicle and scrotum is also possible if the blood flow is restricted for a prolonged period.
Go to the emergency room or call the local emergency number (such as 911) if testicular torsion symptoms occur.
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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