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 quickly, the testicle can usually be saved. But when blood flow has been cut off for too long, a testicle might become so badly damaged that it has to be removed.
Mar. 12, 2015
- Wein AJ, et al. Abnormalities of the testis and scrotum and their surgical management. In: Campbell-Walsh Urology. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.clinicalkey.com. Accessed Feb. 13, 2015.
- Somani BK, et al. Testicular torsion. BMJ. 2010;341:c3213.
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- Hittelman AB. Neonatal testicular torsion. http://www.uptodate.com/home. Accessed Feb. 16, 2015.
- 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.
- Eyre RC. Evaluation of the acute scrotum in adults. http://www.uptodate.com/home. Accessed Feb. 16, 2015.
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