Doctor's Notes on Testicular Torsion
Testicular torsion is caused by the twisting of the spermatic cord, which results in a loss of blood flow to the testicle. It is a surgical emergency that can result in the loss of the affected testicle if not treated promptly. The most common cause of testicular torsion is an anatomic abnormality present in some males called the bell clapper deformity. This condition allows the spermatic cord to twist more easily. The twisting (torsion) can occur spontaneously or may be associated with trauma. Testicular torsion is the most common cause of testicle loss in adolescent males. It is seen most frequently in the 12 to 18-year-olds, and most cases occur in men under age 30.
Symptoms of testicular torsion include excruciating one-sided testicular pain with sudden swelling. Since the cord structures twist (like the strings of a puppet), the testicle elevates as well. Other symptoms of testicular torsion include nausea, vomiting, abdominal pain, and fever.
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Kasper, D.L., et al., eds. Harrison's Principles of Internal Medicine, 19th Ed. United States: McGraw-Hill Education, 2015.