Testicular torsion remains a common surgical emergency of adolescent males. Jul, 2016 torsion of the testis may more accurately be called torsion of the spermatic cord. If the blood supply is not returned to the testicle quickly within six hours, the testicle may be surgically removed. The childs age, overall health and medical history.
You or your child should see your doctor as soon as possible. Jan 05, 2019 testicular torsion develops when the spermatic cord within a testicle becomes twisted around the blood vessels in the testicle and scrotum, thereby cutting off the blood supply and potentially causing irreversible damage. Testicle, testicular torsion, acute scrotal syndrome. Torsion testicular en pediatria, diagnostico y manejo. Testicular torsion is defined as a torsion of the spermatic cord resulting in the loss of blood supply to the testicle. He or she may order a urine test or an ultrasound of the scrotum. Consider occult testicular torsion if undescended testicle especially in infants with unconsolable crying lower abdominal pain without testicular pain may be the only presenting symptom of testicular torsion in 30% of cases. Torsion testicular trastornos urogenitales manual msd version. The annual incidence of testicular torsion is approximately 14,000 persons under 25 years, with highest prevalence between 12 and 18 years old.
Torsion testicular, reto diagnostico ante una urgencia quirurgica. If you suspect your child has testicular torsion, seek medical attention immediately. Development and initial validation of a scoring system to diagnose testicular torsion in children american urological association. Testicular torsion history and exam bmj best practice. While both conditions can cause testicular pain, the pain of epididymitis is typically localized to the epididymis at the rear pole of the testicle. Given the treatment implications of testicular torsion, it is important to distinguish testicular torsion from other causes of testicular pain, such as epididymitis, which can present similarly. Testicular torsion can affect males at any age but boys usually aged between 12 to 18 years are at greater risk of intravaginal torsion than other age groups.
Testicular torsion is a painful twisting of a boys testicles and spermatic cord. The most common clinical form of presentation was a painless testicular mass. Valoracion del sindrome escrotal agudo en atencion primaria. It happens when the spermatic cord, which provides blood flow to the testicle, rotates and becomes twisted. Testicular torsion also called testis torsion happens when the spermatic cord that provides blood flow to the testicle rotates and becomes twisted, usually due to an injury or medical condition. Prompt diagnosis remains difficult and testicular salvage rates depends on the interval between symptom onset and the surgical treatment. Careful examinations of severe damage to the seminiferous epithelium after repair of unilateral torsion have never shown a significant contralateral effect on spermatogenesis 20 or even on a number of other. This cuts off the testicles blood supply and causes sudden, severe pain and swelling. The classic presentation is acute, severe scrotal pain at rest. Torsion testicular aguda y orquiectomia articulo original medigraphic.
Treatment needs to be done right away to prevent longlasting permanent injury to the testicles. Revista pediatria electronica torsion testicular en pediatria. Testicular torsion represents approximately 25% of the causes. Testicular torsion in the perinatal period is an uncommon finding. The pathological study showed 11 primary testicular tumors and 4 paratesticular tumors rhabdomyosarcomas, with 60% being germinal tumors and the rest nongerminal. Testicular torsion occurs mainly in two different age groups. Testicular torsion is an acute vascular event causing the rotation. Torsion can slow or cut off blood flow to the testicle.
When not treated quickly, or at all, this condition can result in severe complications. Testicular torsion is the most common cause of acute scrotal pain in the prepuberal and adolescent boys and should be foremost in the minds of primary care physicians evaluating these children. We believe that it should carry out a surgical exploration as quick as possible because if any. A lack of blood makes the affected testicle swell up and become painful. Abstract testicular torsion is a highly disastrous complication if it is not corrected in a short time, and the solution that avoids the loss of the affected testicle is immediate surgical exploration. Torsion testicular, sindrome escrotal agudo, orquiectomia, dolor escrotal. It causes occlusion of testicular blood vessels and, unless prompt action is taken, rapidly leads to ischaemia, resulting in loss of the testis germ cells are the most susceptible cell line to ischaemia. Puede afectar a uno o ambos lados del escroto y puede estar originado por varias causas. Testicular torsion is an emergency requiring immediate care. The spermatic cord is a set of nerves, ducts, and blood vessels that leads from the groin to the testicles. Torsion of the testis, also referred to as torsion of the spermatic cord, is a subject of debate among physicians and surgeons. Testicular torsion is a true surgical emergency with peak presentation in adolescence, between 12 and 16 years of age. The twisting cuts off the testicles blood supply and causes sudden pain and swelling.
Testicular torsion causes immediate circulatory changes and longterm sequelae such as. Always perform a testicular exam in male lower abdominal pain. Read more about symptoms, diagnosis, treatment, complications, causes and prognosis. It could be either within or outside the tunica vaginalis. Testicular torsion is a twisting of the spermatic cord and its contents and is a surgical emergency affecting 3. Testis viability is very low, however there are cases that after an early diagnosis and detorsion, orchiectomy was not necessary. Testicular torsion in children health encyclopedia. Torsion is identified in newborns because the scrotum is discolored appears. Testicular torsion is an emergency that requires immediate medical care.
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