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Testicular Torsion

Testicular Torsion Overview

Testicular torsion is a surgical emergency that may result in the loss of the affected testicle if not treated promptly. This is a painful condition caused by the twisting of the spermatic cord, which causes a loss of blood flow to the testicle. Testicular tissue cannot survive without blood flow. Torsion is the most common cause of testicle loss in adolescent males.

Testicular Torsion Causes

The cause of the majority of cases is the bell clapper deformity, an anatomic abnormality that is present in around 12% of males. This anatomical condition allows the spermatic cord to twist more easily, resulting in compromise of the blood supply to the testicle. This can occur spontaneously or may be associated with trauma. There is no way to detect this deformity. In about 40% of men who have this anatomical abnormality, it is present bilaterally (in both testicles).



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Testicular Torsion »

Testicular torsion is a true urologic emergency and must be differentiated from other complaints of testicular pain because a delay in diagnosis and management can lead to loss of the testicle.

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