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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.
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 ...
Testicular torsion can happen in a number of ways. It can occur when you're working out, having sex, or even sleeping. It's most common between the ages of 12 and 18, but can happen at any age.
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 ]
Testicular conditions: Pain may radiate to the lower abdomen in cases of testicular torsion, epididymitis, or orchitis. Epididymitis is inflammation of the epididymis, a tube at the back of the ...
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.
Testicular torsion is a medical emergency. This is because the longer it takes to access medical intervention with respect to extending ischemia, the higher the chance that the testicle will be lost. There is a 90% chance to save the testicle if de-torsion surgery is performed within six hours of testicular torsion onset. [32]
Testicular torsion is a condition of physical twisting of the testis which results in cutting off the blood supply. It leads to damage that, if not treated within a few hours, causes the death of testicular tissue, and requires removal of the testis to prevent gangrene , and therefore can cause infertility.