The annual incidence of testicular torsion is approximately 14,000 persons under 25 years, with highest prevalence between 12 and 18 years old. The testicle on the babys right side is the affected one. Testicular torsion is the most common cause of acute scrotal pain in the prepuberal and adolescent boys and should be foremost in the minds of primary care physicians evaluating these children. Torsion testicular, reto diagnostico ante una urgencia. The impact of testicular torsion on testicular function.
This causes a restriction in blood flow to the testes, severe pain, and possibly permanent damage. Torsion testicular trastornos urogenitales manual msd version. Sonographic appearances of the epididymis in boys with acute testicular torsion but preserved testicular blood flow on color. Pediatric testicular torsion is an acute vascular event in which the spermatic cord becomes twisted on its axis see the image below, so that the blood flow to or from the testicle becomes impeded. Pediatric testicular torsion doctors and providers. Surgical correction is indicated after failure of clinical treatment or for ectopic testes. Testicular torsion remains the most frequent cause of testicular ischemia, especially in adolescents and young adults. Pdf the impact of testicular torsion on testicular function.
Testicular torsion american pediatric surgical association. Revista pediatria electronica torsion testicular en pediatria. Testicular torsion is the most common cause of acute scrotal pain in the prepuberal and adolescent boys and should be foremost in the minds of primary care. Testicular torsion usually occurs in males due to rapid growth during puberty between the ages of 12 and 16, but it can occur at any age, even before birth. Epididimitis, orquitis, tumor testicular, trauma testicular, hernia aguda e hidrocele. Issuu is a digital publishing platform that makes it simple to publish magazines, catalogs, newspapers, books, and more online. Testicular torsion occurs when a testicle rotates, twisting the spermatic cord that brings blood to the scrotum. Testicular torsion occurs when the spermatic cord becomes twisted. Neonatal testicular torsion either intrauterine or postnatal results into. Testicular torsion is most common between ages 12 and 18, but it can occur at any age, even before birth. However, it can result in vascular compromise leading to testicular ischemia and injury, and if not corrected, necrosis and testicular nonviability. Detailed description of the testicular anatomic position is essential to adequate diagnosis, treatment and prognostic evaluation. Acute testicular pain, often with abdominal pain and sometimes vomiting has a high predictive value for testicular torsion. Statistical information are derived from main studies published in the last 20 years.
Testis tissue survival after tt is dependent on the degree and duration of tt. The patient should be kept fasted and a surgical referral should be made without delay. Torsion testicular aguda y orquiectomia articulo original medigraphic. Testicular torsion represents approximately 25% of the causes. Abdomen agudo, apendicitis, torsion testicular en pediatria. Timely diagnosis and intervention are keys to saving the affected testicle. When findings support or raise suspicion of spermatic cord torsion, emergent scrotal exploration is indicated and should not be delayed. Testicular torsion is a twisting of the spermatic cord and its contents and is a surgical emergency affecting 3. Neonatal testicular torsion, also known as perinatal testicular torsion is a subject of debate among surgeons. Puede afectar a uno o ambos lados del escroto y puede estar originado por varias causas. This case showed that this diagnosis can occur even when the testis is still fixed to the scrotal wall. Testicular torsion can happen in all ages, but usually happens in boys ages 1216 about 65% of all testicular torsion or as a young baby also called neonatal torsion. The most common clinical form of presentation was a painless testicular mass.