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Given the treatment implications of testicular torsion, it is important to distinguish testicular torsion from other causes of testicular pain, such as epididymitis, which can present similarly. While both conditions can cause testicular pain, the pain of epididymitis is typically localized to the epididymis at the rear pole of the testicle.
Orchiopexy is performed in the event of testicular torsion, a urologic emergency presenting with intense pain and often without inciting injury. [citation needed]While neonatal torsion occurs with no anatomic defect to account for its occurrence (occurring in utero or shortly after birth), adult torsion results from a bilateral congenital anomaly often called a "bell-clapper deformity", where ...
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.
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 ...
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 ]
According to Prehn's sign, the physical lifting of the testicles relieves the pain of epididymitis but not pain caused by testicular torsion. [ 4 ] Negative Prehn's sign indicates no pain relief with lifting the affected testicle, which points towards testicular torsion which is a surgical emergency and must be relieved within 6 hours.
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Differential diagnosis of hematocele includes testicular tumor, testicular torsion, and epididymitis. [8] In a blood test or urine test, serum levels of tumor markers such as ( alpha-fetoprotein , carcinoembryonic antigen , β-human chorionic gonadotropin ) can help to reveal if testicular cancer is present which can help with the differential ...