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It is important to seek emergency medical care if developing sudden pain in the scrotum to avoid damage to the testicle that can be permanent. [7] The signs and symptoms listed below are relating to hematoceles and associated conditions that can be due to other causes such as testicular cancer or testicular torsion: [7] Unusual lump; Sudden pain
Infertility: [9] The impact of testicular torsion on long-term fertility is not yet fully understood. [10] However, testicular torsion may cause abnormal sperm function on semen analysis, although these abnormalities are more likely to be found in adolescents and in adults. Torsion does not seem to affect long-term sperm function in neonates. [11]
The differential diagnosis of testicular pain is broad and involves conditions from benign to life-threatening. The most common causes of pain in children presenting to the emergency room are testicular torsion (16%), torsion of a testicular appendage (46%), and epididymitis (35%). [4] In adults, the most common cause is epididymitis. [citation ...
Diagnosis is typically based on symptoms. [1] Conditions that may result in similar symptoms include testicular torsion, inguinal hernia, and testicular cancer. [1] Ultrasound can be useful if the diagnosis is unclear. [1] Epididymitis usually has a gradual onset.
Spermatocele is a fluid-filled cyst that develops in the epididymis. [3] The fluid is usually a clear or milky white color and may contain sperm. [4] Spermatoceles are typically filled with spermatozoa [5] and they can vary in size from several millimeters to many centimeters.
Chronic testicular pain is long-term pain of the testes. [ 2 ] [ 3 ] It is considered chronic if it has persisted for more than three months. [ 1 ] Chronic testicular pain may be caused by injury , infection , surgery , cancer , varicocele , or testicular torsion , and is a possible complication after vasectomy . [ 2 ]
Testicle: an infarction of a testicle is commonly caused by testicular torsion and may require removal of the affected testicle(s) if not undone by surgery quickly enough. [14] Ultrasound of segmental testicular infarction. Infarct area shown as hypoechoic and avascular upper segment of R testis.
Therefore, testicular torsion is a surgical emergency and the role of ultrasound is to differentiate it from epididymitis as both disease presents with acute testicular pain clinically. [citation needed] There are two types of testicular torsion: extravaginal and intravaginal. Extravaginal torsion occurs exclusively in newborns.