Ned Tijdschr Geneeskd. Nov 23; [TORSIO TESTIS]. [Article in Dutch]. EYGELAAR A. PMID: ; [Indexed for MEDLINE]. MeSH terms. Neonatal testicular torsion, also known as perinatal testicular torsion is a subject of debate among surgeons. Neonatal testicular torsion either intrauterine or. 1 May In a child with an acute scrotum, testicular torsion is not the most common condition On the far left a child of 10 months old with torsio testis.

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The affected testicle can also have an abnormal horizontal orientation. In the first case vanishing testisthe patient should be treated torsio testis cryptorchid at an older age. Bilateral perinatal torsion is thought to be rare, although an increase in the number of torsio testis reports has been observed.

It is important to be able to tell if the testis is intact, because if toesio is a rupture, this can sometimes be treated surgically. Prolonged intrauterine torsion shows calcification and a hypervascular ring of tunica with a hypodense center[ 24 ]. For information about the SORT evidence rating system, go to https: Neonatal testicular torsion and infarction: With transillumination, the ischemic testicle may torsio testis visualized blue-dot sign. The affected side can be larger from the swollen testis itself, a hydrocele or skin torsio testis.


The time elapsed between torsio testis of pain and performance of detorsion, and the corresponding salvage rate, is as follows [ 1314 ]:. Torsion of the torsio testis cord.

Testicular Torsion

The incidence of torsion in males younger than 25 years is approximately 1 in Surgical treatment may prevent further ischemic damage to the torsio testis. Ultrasound is the modality of choice for evaluating torsio testis potentially torsed testis.

Rev Med Fr Etrang. Fixation of a single testis: Sign up for the free AFP email table of contents.


Manual torsio testis should be attempted if surgery is not an immediate torsio testis however, prompt referral should not be delayed to perform this maneuver. Long-term influence of prepubertal testicular torsion on spermatogenesis. PTT may be unilateral or bilateral, and bilateral torsion can be synchronous or asynchronous. Hematospermia Retrograde ejaculation Postorgasmic illness syndrome.

The bell-clapper deformity with abnormal fixation of the tunica vaginalis to the testicle.

Testicular Torsion

Color doppler Complete absence of intratesticular blood flow and normal extratesticular blood flow on color Doppler images is diagnostic, if the flow is normal in the contralateral testis. Recently it has been subcategorized as either occurring prenatally in utero or postnatally in the first month of life[ 4 ]. The prepubertal testis has a volume torsio testis about cc, while the postpubertal testis torsio testis about 30cc. Am J Emerg Med. There is typically a four- to eight-hour window before permanent ischemic damage occurs.


Dogra V, Bhatt S.

Epididymitis is the most common inflammatory process involving the scrotum and more common in adults. Researchers propose that various mechanisms, including hestis traction torsio testis intra-abdominal pressure, are responsible for testicular descent; however, endocrine factors of torsio testis hypothalamic-pituitary-testicular axis also play a major role in this process.

Torsion of the testis Torsion testes. This is an torsio testis article distributed under the terms of the Creative Commons Attribution NonCommercial 3.

Rarely, observation is appropriate, depending on the pathology. Testicular torsion requires immediate medical attention. Two patients were product of torsio testis gestation. Most prenatal torsions occur in full term neonates with the mean birth weight torsio testis one series being 3.