High urgency
-Moderately severe
Rotation of a testicle causing constriction of the veins, the artery and the spermatic cord (supports the testes in the scrotum).
The most common causes are traumas that injure the scrotum, very intense exercise and scrotum-altering skin conditions.
It manifests as a sudden and very intense pain in the affected testicle, and tends to be accompanied by swelling, lower abdominal pain, nausea and dizziness.
Diagnosis is made with a targeted medical history and a full physical examination. A Doppler ultrasound of the testicle may be carried out as a complementary test to check blood flow.
Treatment is surgical and must 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
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