High urgency
-Moderately severe
It is the rotation of a testicle causing strangulation of the veins, artery and spermatic cord (holding the testicles in the scrotum).
The most frequent causes are trauma that injures the scrotum, very intense exercise or alterations of the scrotal skin.
It manifests with sudden and very intense pain in the affected testicle and is usually accompanied by swelling, lower abdominal pain, nausea and dizziness.
Diagnosis is made with a directed clinical history and complete physical examination, as a complementary test Doppler ultrasound of the testicle can be performed to check blood flow.
Treatment is surgical and should be performed as soon as possible.
- Robert C Eyre. Evaluation of the acute scrotum in adults. UpToDate. Apr 07, 2016.
- Molokwu CN, Somani BK, Goodman CM. Outcomes of scrotal exploration for acute scrotal pain suspicious of testicular torsion: a consecutive case series of 173 patients. BJU Int 2011; 107:990.
- Wampler SM, Llanes M. Common scrotal and testicular problems. Prim Care 2010; 37:613.
- Schmitz D, Safranek S. Clinical inquiries. How useful is a physical exam in diagnosing testicular torsion? J Fam Pract 2009; 58:433.
- Liguori G, Bucci S, Zordani A, et al. Role of US in acute scrotal pain. World J Urol 2011; 29:639.
- Beatriz Alonso Castañeda, Verónica Díaz Madrid, Mario Fernández Ruiz, David García Esparza y Bárbara Otero Perpiñá. Urgencias urológicas. Manual de diagnóstico y terapéutica médica Hospital Universitario 12 de octubre. 6ª edición. 2007. 131: 138.
Dr. Elvira Moreno
Copyright© TeckelMedical 2026
