What is testicular torsion?
Testicle
Spermatic cord contains the vas deferens (which carries sperm), blood vessels and nerves of the testicle. When it comes to twisting the cord wraps around itself. In addition to pain, blood can not reach the testicles (called ischemia). In severe cases, it necrosis: the death of the testicle.
Torsion for children and adults, usually 25 years. The pain is sudden and sometimes follows a strenuous physical activity or trauma. It is usually diffuse in half the scrotum (left or right testicle). Sometimes it moves in the groin, it rises along the spermatic cord (in the direction of the lower abdomen) and / or is accompanied by abdominal pain, nausea or vomiting.
The scrotum is asymmetric because the affected testicle rises. There may also be some redness and swelling.
Vital urgency for testicular
The Doppler ultrasound can aid diagnosis by evaluating the blood supply to the testicle, but in cases where it is not available, or if the pain lasts for nearly six hours, it is necessary to operate immediately. Indeed, from six hours without blood supply, damage to the testicles become irreversible.
The operation involves opening the scrotum to assess the situation. If the testicle is viable, it is unrolled and fixed (Orchidopexy). If it is not, remove the testicle (orchiectomy). In this case, a testicular prosthesis may be proposed.
As a preventive measure, the second testicle is also secured.
If, for technical reasons, the operation is not immediately possible, an attempt to manually untwisting is possible, but does not exempt an operation as soon as possible.
And fertility in?
To maintain fertility, emergency care is especially important. When a testicle to be removed, it is not always possible to ensure the proper functioning of the second. Indeed, in some instances the immune system gets involved in producing antibodies against sperm.
For all physical and psychological reasons that may cause the loss of a testicle, the diagnosis of torsion should be installed very quickly and the management should be immediate, the operating room.
Testicle
Spermatic cord contains the vas deferens (which carries sperm), blood vessels and nerves of the testicle. When it comes to twisting the cord wraps around itself. In addition to pain, blood can not reach the testicles (called ischemia). In severe cases, it necrosis: the death of the testicle.
Torsion for children and adults, usually 25 years. The pain is sudden and sometimes follows a strenuous physical activity or trauma. It is usually diffuse in half the scrotum (left or right testicle). Sometimes it moves in the groin, it rises along the spermatic cord (in the direction of the lower abdomen) and / or is accompanied by abdominal pain, nausea or vomiting.
The scrotum is asymmetric because the affected testicle rises. There may also be some redness and swelling.
Vital urgency for testicular
The Doppler ultrasound can aid diagnosis by evaluating the blood supply to the testicle, but in cases where it is not available, or if the pain lasts for nearly six hours, it is necessary to operate immediately. Indeed, from six hours without blood supply, damage to the testicles become irreversible.
The operation involves opening the scrotum to assess the situation. If the testicle is viable, it is unrolled and fixed (Orchidopexy). If it is not, remove the testicle (orchiectomy). In this case, a testicular prosthesis may be proposed.
As a preventive measure, the second testicle is also secured.
If, for technical reasons, the operation is not immediately possible, an attempt to manually untwisting is possible, but does not exempt an operation as soon as possible.
And fertility in?
To maintain fertility, emergency care is especially important. When a testicle to be removed, it is not always possible to ensure the proper functioning of the second. Indeed, in some instances the immune system gets involved in producing antibodies against sperm.
For all physical and psychological reasons that may cause the loss of a testicle, the diagnosis of torsion should be installed very quickly and the management should be immediate, the operating room.