Testicular Torsion

Twisting of testis and spermatic cord, resulting in acute ischemia and loss of testis if unrecognized:

• Intravaginal torsion: occurs within tunica vaginalis, only involves testis and...

Acute onset of pain, often during period of inactivity

Onset of pain usually sudden but may start gradually with subsequent increase in severity

Nausea and vomiting are common:

• Presenc...

Manual reduction: best performed by experienced physician; may be successful, facilitated by lidocaine 1% (plain) injection at level of external ring:

• Difficult to determine success of manu...

Postoperative visit at 1 to 2 weeks

Yearly visits until puberty may be needed to evaluate for atrophy.

N44.00 Torsion of testis, unspecified

N44.01 Extravaginal torsion of spermatic cord

N44.03 Torsion of appendix testis

N44.02 Intravaginal torsion of spermatic cord

N44.04 Torsion of appendix ep...

The diagnosis of testicular torsion is usually made by physical exam. Patients with suspected torsion should be taken to the OR without delay. If diagnosis is in question, a testicular...