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Male Sexual Dysfunction
Testicular Torsion
Testicular torsion occurs when the spermatic cord twists, cutting off blood flow to the testicle. It is a surgical emergency requiring immediate intervention to save the testicle.
70%
Success Rate
Emergency surgery within hours; 2-3 weeks recovery
Duration
Multiple
Treatment Options
3+ Groups
May Affect
What is Testicular Torsion?
Testicular torsion occurs when the spermatic cord twists, cutting off blood flow to the testicle. It is a surgical emergency requiring immediate intervention to save the testicle.
Prevalence: Affects approximately 1 in 4,000 males under 25 annually
Symptoms and Signs
- •Sudden, severe scrotal pain
- •Nausea and vomiting
- •Abdominal or groin pain (referred)
- •Swollen, tender, and high-riding testicle
- •Absent cremasteric reflex
- •Redness and warmth of the scrotum
Causes and Risk Factors
Common Causes
- →Bell clapper deformity (congenital lack of fixation)
- →Vigorous physical activity or trauma
- →Cold temperatures or rapid temperature change
- →Sexual activity or arousal
- →Spontaneous torsion during sleep
Risk Factors
- ⚠️Bell clapper deformity (most significant)
- ⚠️Age 12-18 (peak incidence)
- ⚠️Previous testicular torsion (contralateral risk)
- ⚠️Family history of testicular torsion
- ⚠️Cryptorchidism (undescended testicle)
Treatment Options
Expected Outcomes: 90% salvage rate within 6 hours; drops to 50% at 12 hours and 10% after 24 hours
Available Treatments:
- ✓Manual detorsion (temporary)
- ✓Emergency surgical exploration
- ✓Orchiopexy (fixation of both testicles)
- ✓Orchiectomy (if testicle is nonviable)
- ✓Post-surgical antibiotics
- ✓Pain management
Prevention Tips
- →Immediate medical attention for sudden scrotal pain
- →Orchiopexy (fixation) of contralateral testicle
- →Education about testicular torsion symptoms
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