Testicular torsion occurs when a testicle rotates, twisting the spermatic cord that brings blood to the scrotum. The reduced blood flow causes sudden and often severe pain and swelling. Testicular torsion is most common between ages 12 and 16, but it can occur at any age, even before birth.
Testicular torsion usually requires emergency surgery. If treated within a few hours, the testicle can usually be saved. But waiting longer can cause permanent damage and may affect the ability to father children. When blood flow has been cut off for too long, a testicle may become so badly damaged it has to be removed.
Mar. 07, 2012
- Barthold JS. Abnormalities of the testes and scrotum and their surgical management. In: Wein AJ, et al. Campbell-Walsh Urology. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.mdconsult.com/booksS/about.do?about=true&eid=4-u1.0-B978-1-4160-6911-9..C2009-1-60786-3--TOP&isbn=978-1-4160-6911-9&uniqId=314388803-2. Accessed Jan. 24, 2012.
- Somani BK, et al. Testicular torsion. BMJ. 2010;341:c3213.
- Cubillos J, et al. Familial testicular torsion. Journal of Urology. 2011;185:2469.
- Tiemstra JD. Evaluation of scrotal masses. American Family Physician. 2008;78:1165.
- Snyder HM, et al. In utero/neonatal torsion: Observation versus prompt exploration. Journal of Urology. 2010;183:1675.
- Roth CC, et al. Salvage of bilateral asynchronous perinatal testicular torsion. Journal of Urology. 2011;185:2464.
- Nippoldt TB (expert opinion). Mayo Clinic, Rochester, Minn. Jan. 28, 2012.