Torsion Testis

Torsion Testis

Torsion Testis - Left

 

Testicular torsion is a Surgical Emergency

Common Age Group: 10-25 Years

Clinical Features:

Sudden onset of pain in the testis, groin or Lower Abdomen

Associated nausea or vomiting may be present

The affected testis lies in a horizontal position or pulled up position.

Differential Diagnosis

Acute Epididymo Orchitis

Strangulated Inguinal Hernia

Testicular Trauma

In Acute Epididymo Orchitis, elevation of the testis or scrotal support results in the relief of  pain.

In Torsion testis elevation of the testis results in aggravation of  pain.

Specific Investigation

Doppler Ultrasound

Treatment

Scrotal Exploration. Untwist the torsion of the spermatic cord. Look for the viability of the testis. If the testis is viable, fix the tunica albugenia to the scrotal wall. If the testis is gangrenous a low orchidectomy is performed. Opposite side testis is also fixed as a precaution during the same operation.