Apr 7, 2017

Testicular Torsion

INTRODUCTION:
Testicular torsion or torsion of the testis is twisting of testis leading to occlusion of blood vessels which if not diagnosed and operated can lead to testicular necrosis. It is one of the important cause of acute scrotum and is a surgical emergency.

ETIOLOGY:
There is bi-modal distribution in the age:
Neonatal age group- Extravaginal testicular torsion: Entire spermatic cord twists around its axis.
Adolescents- Intravaginal testicular torsion: because of abnormal fixation of testis with epididymis (Bell-clapper deformity), torsion of spermatic cord occurs within tunica vaginalis

SYMPTOMS:
1. Acute scrotal pain
2. Nausea/Vomiting
3. Pain in lower abdomen radiating to testis
4. previous H/O similar type of pain swelling

ON EXAMINATION:
- high degree of suspicion
- firm, high lying testis with tenderness
- transverse orientation of testis
- absence of cremasteric reflex
- scrotal edema

INVESTIGATION:
If there is high index of suspicion, prompt surgical exploration is mandatory.
In doubtful situation Color Doppler US study

TREATMENT:
Bilateral orchiopexy:
Detorsion of the affected testis with orchiopexy/ orchiectomy depending upon the situation. At the same time other testis is also fixed as it has high chances of undergoing torsion


2 comments:

Ankura Hospital said...

Nice article thanks for sharing.
Dr. V. V. S. Chandrasekharam is a gold medallist in Pediatric Surgery from the All India Institute of Medical Sciences (AIIMS), New Delhi. He has presented over 15 clinical and research papers in various international and national conferences.
For more info please visit: http://www.ankurahospital.com/doctor/dr-vvs-chandrasekharam/

convatec said...

ConvaTec is a global medical products and technologies company, We providing Like...urostomy bag ,colostomy surgery ,ostomy bag ,ileostomy bag ,ostomy care,therapeutics, continence and critical care, and infusion devices etc...
colostomy surgery
ostomy appliance
colostomy bag care
ostomy
colostomy bag price in india