Testicular Torsion

Testicular torsion occurs when the spermatic cord (from which the testicle is suspended) twists, cutting off the testicle’s blood supply, a condition called ischemia. The principal symptom is rapid onset of testicular pain. The diagnosis can be made clinically but an urgent ultrasound is helpful in evaluation.

Irreversible ischemia begins around six hours after onset and emergency diagnosis and treatment is required within this time in order to minimize necrosis and to improve the chance of salvaging the testicle.