Testicular Torsion

Testicular Torsion: Complications

The following are the most important diseases or complications that can be caused by testicular torsion (testicular torsion): Genitourinary system (kidneys, urinary tract-genital organs) (N00-N99). Testicular atrophy (abnormally reduced testis). Reduced sperm quality after unilateral (one-sided) testicular torsion in adolescence (phase of life marking the transition from childhood to adulthood); endocrine (hormone) function is unaffected … Testicular Torsion: Complications

Testicular Torsion: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (observation) and palpation (palpation) of the genitals (testicular position, size, and painfulness compared to the opposite side or where is the punctum maximum of pain); dark blue to black discoloration … Testicular Torsion: Examination

Testicular Torsion: Test and Diagnosis

Laboratory diagnostics are usually not necessary. It may be useful to determine a small and large blood count and CRP, if necessary. 2nd-order laboratory parameters-depending on the results of the history, physical examination, and obligatory laboratory parameters-for differential diagnostic clarification Alpha-fetoprotein, β-HCG – for suspected testicular tumor (germ cell tumor).

Testicular Torsion: Diagnostic Tests

Obligatory medical device diagnostics. Scrotal sonography (ultrasound examination of the scrotal organs/testis and epididymis and their vascular supply) using Doppler sonography (special ultrasound examination that measures the flow velocity of blood in the vessels (arteries and veins)): Testicular torsion (twisting of the testis) is considered proven with evidence of absence of central perfusion (blood flow … Testicular Torsion: Diagnostic Tests

Testicular Torsion: Surgical Therapy

Even the suspicion of testicular torsion necessitates immediate testicular exposure! Operative procedure as follows: Exposure of the testis Inguinal (“involving the groin area”) access: newborns, children with undescended testis Scrotal (” affect the scrotum”) access: all other patients. Detorquation (release of testicular torsion) and orchidopexy (surgical fixation of the testis in the scrotum) including the … Testicular Torsion: Surgical Therapy

Testicular Torsion: Prevention

Primary prevention of testicular torsion (testicular twisting) is not possible. Prophylaxis Orchidopexy (testicular fixation) should be performed for: Testicular torsion as prophylaxis on the unaffected side (in the same session/immediately). Intermittent testicular pain with proven anomalies on both sides. In cases of undescended testis/gluteal testis In the context of a scrotal (through the scrotum) testicular … Testicular Torsion: Prevention

Testicular Torsion: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate testicular torsion (testicular torsion): Leading symptoms Unilateral (one-sided), sudden, severe, rapid-onset pain: Pain radiates to the inguinal canal and lower abdomen (approximately 50% of patients have these symptoms) Swelling of the testis/upstanding testis (Brunzel’s sign: fixed, painful, horizontal upstanding of the testis in the presence of testicular torsion). … Testicular Torsion: Symptoms, Complaints, Signs

Testicular Torsion: Causes

Pathogenesis (development of disease) The occurrence of testicular torsion is probably due to contraction of the cremaster muscle. Furthermore, by the absence of the gubernaculum testis (ligamentous structure that serves as a guide structure for the testis during its descent into the scrotum (descensus testis)), which inhibits the mobility of the testis. There is mainly … Testicular Torsion: Causes

Testicular Torsion: Medical History

Medical history (history of illness) represents an important component in the diagnosis of testicular torsion (testicular torsion). Family history Social history Current anamnesis/systemic anamnesis (somatic and psychological complaints). Do you have any pain? If yes, when does the pain occur? Did the pain come on suddenly?* Where is the pain localized? (Testicle, groin?) How long … Testicular Torsion: Medical History

Testicular Torsion: Or something else? Differential Diagnosis

Mouth, esophagus (food pipe), stomach, and intestines (K00-K67; K90-K93). Incarcerated hernia – incarcerated soft tissue hernia. Neoplasms – tumor diseases (C00-D48) Testicular tumor, unspecified Genitourinary system (kidneys, urinary tract – reproductive organs) (N00-N99). Epididymitis (inflammation of the epididymis). Hydatid torsion – twisting of testicular/epididymal appendages. Orchitis (inflammation of the testis) Scrotal edema – accumulation of … Testicular Torsion: Or something else? Differential Diagnosis