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Testicular torsion

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torsion slideshare

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torsion slideshare

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Shubham Saxena. Show More. No Downloads. Views Total views. Actions Shares. Embeds 0 No embeds. No notes for slide. Torsion 1. Government Engineering College, Bhavnagar. Civil Engineering Department 2. Determine the shear stress developed at points A and B, located at section a—a of the shaft.During testicular torsion a testicle rotates, twisting the spermatic cord that brings blood to the scrotum, the loose bag of skin under the penis that contains the testicles.

The reduced blood flow causes sudden and often severe pain and swelling. Testicular torsion occurs when a testicle rotates, twisting the spermatic cord that brings blood to the scrotum. Testicular torsion is most common between ages 12 and 18, but it can occur at any age, even before birth.

Testicular torsion usually requires emergency surgery. If treated quickly, the testicle can usually be saved. But when blood flow has been cut off for too long, a testicle might become so badly damaged that it has to be removed. Young boys who have testicular torsion typically wake up due to scrotal pain in the middle of the night or early in the morning. Seek emergency care for sudden or severe testicle pain. Prompt treatment can prevent severe damage or loss of your testicle if you have testicular torsion.

You also need to seek prompt medical help if you've had sudden testicle pain that goes away without treatment. This can occur when a testicle twists and then untwists on its own intermittent torsion and detorsion. Surgery is frequently needed to prevent the problem from happening again. Testicular torsion occurs when the testicle rotates on the spermatic cord, which brings blood to the testicle from the abdomen. If the testicle rotates several times, blood flow to it can be entirely blocked, causing damage more quickly.

It's not clear why testicular torsion occurs. Most males who get testicular torsion have an inherited trait that allows the testicle to rotate freely inside the scrotum. This inherited condition often affects both testicles. But not every male with the trait will have testicular torsion. Testicular torsion often occurs several hours after vigorous activity, after a minor injury to the testicles or while sleeping.

Cold temperature or rapid growth of the testicle during puberty also might play a role. Having testicles that can rotate in the scrotum is a trait inherited by some males.

If you have this trait, the only way to prevent testicular torsion is surgery to attach both testicles to the inside of the scrotum. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission.

This content does not have an English version. This content does not have an Arabic version. Overview Testicular torsion Open pop-up dialog box Close. Testicular torsion During testicular torsion a testicle rotates, twisting the spermatic cord that brings blood to the scrotum, the loose bag of skin under the penis that contains the testicles.

Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references Testicular torsion. Merck Manual Professional Version. Accessed March 31, Walls RM, et al.

Selected urologic disorder. Philadelphia, Pa. Accessed March 1, Ferri FF. Testicular torsion.Testicular torsion occurs when the spermatic cord from which the testicle is suspended twists, cutting off the blood supply to the testicle. Most of those affected have no obvious prior underlying health problems. Treatment is by physically untwisting the testicle, if possible, followed by surgery. It is most common just after birth and during puberty. Testicular torsion usually presents with severe testicular pain or pain in the groin and lower abdomen.

Mild warmth and redness of the overlying area may be present. Elevation of the testicle may worsen the pain. Urinary symptoms, such as pain or increased frequency of urination are also typically absent.

Children with testicular torsion may awaken with testicular or abdominal pain in the middle of the night or in the morning. Most of those affected with testicular torsion have no prior underlying health problems or predisposing conditions. A larger testicle either due to normal variation or testicular tumor increases the risk of torsion.

Age is also an important risk factor for torsion.

Angle of Twist of Shaft with Torsion

Torsion most commonly occurs either in the newborn or just before or during puberty. Epididymitis is more commonly a postpubertal condition. Several congenital anatomic malformations or variations in the testicle or the surrounding structures may allow for increased scrotal rotation and increase the risk of testicular torsion. Other anatomic risk factors include horizontal lie of the testicle or a spermatic cord with a long intrascrotal portion.

Testicular torsion occurs when there is mechanical twisting of the spermatic cord, which suspends the testicle within the scrotum and contains the testicular artery and vein.

Twisting of the cord reduces or eliminates blood flow to the testicle. Typically, venous blood flow is compromised first. It is also believed that torsion occurring during fetal development can lead to so-called neonatal torsion or vanishing testisand is one of the causes of an infant being born with monorchism one testicle.

Intermittent testicular torsion ITT is a less serious but chronic variant of torsion. It is characterized by intermittent scrotal or testicular pain, followed by eventual spontaneous detorsion and resolution of pain. Nausea and vomiting may also occur. Ninety-seven percent of patients who undergo such surgery experience complete relief from their symptoms.

Torsion occurring outside of the tunica vaginaliswhen the testis and gubernaculum can rotate freely, is termed an extravaginal testicular torsion. This type occurs exclusively in newborns, however, newborns can be affected by other testicular torsion variants as well.


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