Definition
Twisting of the spermatic cord can interrupt blood supply to a testicle. This is a surgical emergency.
Symptoms
Sudden, often one-sided testicular pain, sometimes with nausea, vomiting or abdominal pain.
How it may be discovered
Can occur at rest and at any age, particularly adolescence.
When to seek care
Go immediately to an emergency department. Do not wait for a practice reply, even if pain eases.
Investigations and tests
Urgent examination; Doppler only when helpful without delaying necessary treatment.
Reaching a diagnosis
Strong suspicion can justify surgical exploration before all tests are completed.
Treatment options
Surgical untwisting and fixation according to testicular viability. Prompt treatment improves the chance of preservation.
Explore this topic further
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