Testis Torsion: Causes, Symptoms & Diagnosis

Testis torsion is a condition characterized by the twisting of the spermatic cord, leading to severe unilateral testis pain, abdominal discomfort, nausea, and potential complications. Learn about its types, predisposing factors, clinical presentation, and diagnostic investigations to understand this urological emergency better.

• Testis
• Torsion
• Symptoms
• Diagnosis
• Urology

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Uploaded on Mar 15, 2025 | 0 Views

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Presentation Transcript

1. Testis Torsion Testis Torsion

2. Testis Torsion Definition Rotation of The Testis Around its Long Axis due to Twisting of the Spermatic Cord

3. Testis Torsion Definition Rotation of The Testis Around its Long Axis due to Twisting of the Spermatic Cord. Types : Intra-vaginal (most common) Extra-vaginal Torsion of Un-descended Testis Intermittent Torsion Torsion of Appendix Testis

4. Intra-vaginal Torsion

5. Testis Torsion Predisposing Factors : Lack of Fixation of Tunica Vaginalis Horizontal Lie of The Testis Trauma & Cold Weather

6. Testis Torsion Predisposing Factors : Lack of Fixation of Tunica Vaginalis Horizontal Lie of The Testis Trauma & Cold Weather Pathology : Torsion Venous Obstruction Arterial Obstruction Edema & Congestion Hemorrhage & Infarction

7. Testis Torsion Testis Torsion Clinical Picture : Severe Uni-lateral Acute Testis Pain Low Abdominal Pain, Nausea & Vomiting Edema & Erythema of Scrotum Tender Testis & May be Abnormal Lie Thick Spermatic Cord Epididymis May be Posterior or Lateral Absent Cremasteric Reflex

8. Testis Torsion Testis Torsion Clinical Picture : Severe Uni-lateral Acute Testis Pain Low Abdominal Pain, Nausea & Vomiting Edema & Erythema of Scrotum Tender Testis & May be Abnormal Lie Thick Spermatic Cord Epididymis May be Posterior or Lateral Absent Cremasteric Reflex No Fever Increase Pain With Scrotal Elevation

9. Torsion of Undescended Inguinal Testis

10. Testis Torsion Investigations : Color Duplex U.S. Surgical Exploration (Diagnostic & Therapeutic)

11. Testis Torsion Treatment : Manual Detorsion (Early) Scrotal Cooling Till Surgery Surgical Exploration (As Early as Possible)

12. Testis Torsion Treatment : Manual Detorsion (Early) Scrotal Cooling Till Surgery Surgical Exploration (As Early as Possible) Early Late Red Testis, Bleeding of Fresh Blood Cyanotic Testis, No Bleeding or Black Ooze Orchiopexy (Fixation) Orchidectomy (Removal)

13. Torsion With Gangrene of the Right Testis

14. Testis Torsion D.D. : Acute Epididymo-orchitis Trauma & Hematocele Strangulated Hernia Hemorrhage Inside a Tumor Scrotal Abscess Henoch Sch nlein Purpura & Familial Mediterranean Fever Pelvic Congestion (With Intermittent Torsion

15. Capsule Summary Types of Testis Torsion Pathology of Torsion Testis Torsion is an Emergency D.D. of Acute Scrotal Pain

19. Thank You