Testicular Torsion

What is testicular torsion?

Testicular torsion is a serious medical condition that occurs when the testicle twists around its cord, cutting off its blood supply. The lack of blood supply to the testicle can lead to permanent damage to the testicle, including death of the testicle, if not treated quickly.

What causes testicular torsion?

Testicular torsion can occur for a variety of reasons. Oftentimes, the exact cause is unknown. It occurs most often in pre-teen and teenager boys. It is more rare in newborn boys.

What are the signs and symptoms of testicular torsion?

The main symptom of testicular torsion is sudden and extreme testicular pain.

Take your child to the emergency department immediately, if he experiences any of the following symptoms:

• Severe and sudden scrotal pain
• Redness and swelling of the scrotum
• Scrotal pain associated with abdominal pain, nausea, or vomiting
• A high-riding testicle with associated pain
  

How is testicular torsion diagnosed?

Testicular torsion is diagnosed by a physical examination through an experienced healthcare provider. Often, an emergent scrotal ultrasound will be done.

How is testicular torsion treated?

Testicular torsion is a surgical emergency. It is corrected in the operating room under general anesthesia. The goal of the operation to untwist the testicle and restore blood flow to the testicle. Sometimes the affected testicle will need to be removed. The Division of Urology at Arkansas Children's is experienced in diagnosing and treating testicular torsion and will work with you to determine a diagnosis and treatment plan for your child.